Provider Demographics
NPI:1891178141
Name:MSVC,PC
Entity Type:Organization
Organization Name:MSVC,PC
Other - Org Name:MAIN STREET VETERINARY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:409-755-6100
Mailing Address - Street 1:500 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-7375
Mailing Address - Country:US
Mailing Address - Phone:409-755-6100
Mailing Address - Fax:409-755-6109
Practice Address - Street 1:500 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-7375
Practice Address - Country:US
Practice Address - Phone:409-755-6100
Practice Address - Fax:409-755-6109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-06
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8116284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital