Provider Demographics
NPI:1659687333
Name:HUNT, ROBERT CHUCK (ANP)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:CHUCK
Last Name:HUNT
Suffix:
Gender:M
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 E HOUSTON ST STE 101A
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78202-2916
Mailing Address - Country:US
Mailing Address - Phone:210-226-1717
Mailing Address - Fax:210-226-2132
Practice Address - Street 1:2011 E HOUSTON ST STE 101A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78202-2916
Practice Address - Country:US
Practice Address - Phone:210-226-1717
Practice Address - Fax:210-226-2132
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX554756363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health