Provider Demographics
NPI:1689802407
Name:HUNT, FARRON CHERYL (MD)
Entity Type:Individual
Prefix:
First Name:FARRON
Middle Name:CHERYL
Last Name:HUNT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6210 E HIGHWAY 290
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-1142
Mailing Address - Country:US
Mailing Address - Phone:512-483-9596
Mailing Address - Fax:512-406-6216
Practice Address - Street 1:11300 HWY 290 EAST
Practice Address - Street 2:BLDG 2, SUITE 230
Practice Address - City:MANOR
Practice Address - State:TX
Practice Address - Zip Code:78653-0397
Practice Address - Country:US
Practice Address - Phone:512-582-6075
Practice Address - Fax:512-406-6275
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0734207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX301589304Medicaid
TX1093744187OtherNPI
TX080462703Medicaid
LA2439278Medicaid
TX301589303Medicaid