Provider Demographics
NPI:1245284140
Name:HUNTER, MICHAEL EDWIN (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EDWIN
Last Name:HUNTER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10905 MEMORIAL HERMANN DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3490
Mailing Address - Country:US
Mailing Address - Phone:713-340-0909
Mailing Address - Fax:713-340-0912
Practice Address - Street 1:10905 MEMORIAL HERMANN DR
Practice Address - Street 2:SUITE 209
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3490
Practice Address - Country:US
Practice Address - Phone:713-340-0909
Practice Address - Fax:713-340-0912
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE7993207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX099834601Medicaid
00QS33Medicare PIN