Provider Demographics
NPI:1295236529
Name:HUNT, DONNA R
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:R
Last Name:HUNT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 COUNTY ROAD 254
Mailing Address - Street 2:
Mailing Address - City:TUSCOLA
Mailing Address - State:TX
Mailing Address - Zip Code:79562-1901
Mailing Address - Country:US
Mailing Address - Phone:325-721-5437
Mailing Address - Fax:
Practice Address - Street 1:1009 COUNTY ROAD 254
Practice Address - Street 2:
Practice Address - City:TUSCOLA
Practice Address - State:TX
Practice Address - Zip Code:79562-1901
Practice Address - Country:US
Practice Address - Phone:325-721-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX142223164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse