Provider Demographics
NPI:1780184200
Name:HUNI, TENDAI D (RN)
Entity Type:Individual
Prefix:
First Name:TENDAI
Middle Name:D
Last Name:HUNI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 NORTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-8711
Mailing Address - Country:US
Mailing Address - Phone:469-878-5484
Mailing Address - Fax:
Practice Address - Street 1:1420 NORTHRIDGE DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-8711
Practice Address - Country:US
Practice Address - Phone:469-878-5484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX915738163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX915738OtherTEXAS BOARD OF NURSING