Provider Demographics
NPI:1841071487
Name:HUNT, ALEXANDER DAVOUGHN (COTA)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:DAVOUGHN
Last Name:HUNT
Suffix:
Gender:M
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12818 SHADOW CANYON LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3640
Mailing Address - Country:US
Mailing Address - Phone:832-677-0565
Mailing Address - Fax:
Practice Address - Street 1:505 BERING DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-1460
Practice Address - Country:US
Practice Address - Phone:713-532-1718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218105224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant