Provider Demographics
NPI:1639670664
Name:HUNTER, PATRICIA MARIA
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MARIA
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 OHIO DR APT 4306
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3558
Mailing Address - Country:US
Mailing Address - Phone:214-854-6574
Mailing Address - Fax:
Practice Address - Street 1:2525 OHIO DR APT 4306
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3558
Practice Address - Country:US
Practice Address - Phone:214-854-6574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX301067164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse