Provider Demographics
NPI:1659916849
Name:HUNTERS COMPASSIONATE CARE LLC
Entity Type:Organization
Organization Name:HUNTERS COMPASSIONATE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCED PRACTICING NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAMESA
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:817-559-7431
Mailing Address - Street 1:312 LEMAY DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75704-2000
Mailing Address - Country:US
Mailing Address - Phone:817-559-7431
Mailing Address - Fax:
Practice Address - Street 1:508 PIERCE ST
Practice Address - Street 2:
Practice Address - City:LINDALE
Practice Address - State:TX
Practice Address - Zip Code:75771-3335
Practice Address - Country:US
Practice Address - Phone:903-881-9373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-11
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty