Provider Demographics
NPI:1750422721
Name:HUNTER, DONNIS TERRENCE JR (CST,SA-C)
Entity type:Individual
Prefix:MR
First Name:DONNIS
Middle Name:TERRENCE
Last Name:HUNTER
Suffix:JR
Gender:M
Credentials:CST,SA-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4920 BELLAIRE AVE
Mailing Address - Street 2:
Mailing Address - City:GROVES
Mailing Address - State:TX
Mailing Address - Zip Code:77619-3204
Mailing Address - Country:US
Mailing Address - Phone:409-962-8302
Mailing Address - Fax:
Practice Address - Street 1:4920 BELLAIRE AVE
Practice Address - Street 2:
Practice Address - City:GROVES
Practice Address - State:TX
Practice Address - Zip Code:77619-3204
Practice Address - Country:US
Practice Address - Phone:409-962-8302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist