Provider Demographics
NPI:1457393589
Name:HUNT, JASON DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:DAVID
Last Name:HUNT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2916 NEDERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-7019
Mailing Address - Country:US
Mailing Address - Phone:409-722-3231
Mailing Address - Fax:409-722-7726
Practice Address - Street 1:2916 NEDERLAND AVE
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-7019
Practice Address - Country:US
Practice Address - Phone:409-722-3231
Practice Address - Fax:409-722-7726
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9563111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX606436OtherBLUE CROSS BLUE SHIELD
TX7353538OtherAETNA US HEALTHCARE
TX7353538OtherAETNA US HEALTHCARE
TX8A8796Medicare ID - Type Unspecified