Provider Demographics
NPI:1740819994
Name:HUNTER OCCUPATIONAL SOLUTION
Entity type:Organization
Organization Name:HUNTER OCCUPATIONAL SOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNIX
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPY
Authorized Official - Phone:432-552-5600
Mailing Address - Street 1:P.O. BOX 870368
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75187
Mailing Address - Country:US
Mailing Address - Phone:469-720-3981
Mailing Address - Fax:432-888-9239
Practice Address - Street 1:4311 ANDREWS HWY.
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703
Practice Address - Country:US
Practice Address - Phone:469-720-3981
Practice Address - Fax:432-888-9239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation