Provider Demographics
NPI:1952740391
Name:HUNTER, SARAH RODRIGUEZ (OD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:RODRIGUEZ
Last Name:HUNTER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-5563
Mailing Address - Country:US
Mailing Address - Phone:281-485-0388
Mailing Address - Fax:
Practice Address - Street 1:2005 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5563
Practice Address - Country:US
Practice Address - Phone:281-485-0388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8239TG152W00000X
TX8239T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1952740391OtherNPI