Provider Demographics
NPI:1770586067
Name:HUNTER, TONYA H (MD)
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:H
Last Name:HUNTER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:H
Other - Last Name:SHEPPARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1060
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:LA
Mailing Address - Zip Code:71221-1060
Mailing Address - Country:US
Mailing Address - Phone:318-283-3622
Mailing Address - Fax:
Practice Address - Street 1:9642 HIGHWAY 165N
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71280
Practice Address - Country:US
Practice Address - Phone:318-283-3952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA24411207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1570648Medicaid
LA4E256C148Medicare PIN
LA1570648Medicaid