Provider Demographics
NPI:1710987011
Name:HUNTER MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:HUNTER MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:VARUGHESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-780-9233
Mailing Address - Street 1:1231 E PLEASANT RUN RD STE 113
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-6810
Mailing Address - Country:US
Mailing Address - Phone:972-780-9233
Mailing Address - Fax:972-780-8690
Practice Address - Street 1:1231 E PLEASANT RUN RD STE 113
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-6810
Practice Address - Country:US
Practice Address - Phone:972-780-9233
Practice Address - Fax:972-780-8690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002961251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK06776051Medicaid
TX001003326Medicaid
TX001003326Medicaid
TX677605Medicare Oscar/Certification