1598790503 NPI number — NOTA HUNTER MD

Table of content: NOTA HUNTER MD (NPI 1598790503)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598790503 NPI number — NOTA HUNTER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUNTER
Provider First Name:
NOTA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598790503
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/17/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
909 FROSTWOOD DR
Provider Second Line Business Mailing Address:
SUITE 1.100
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77024-2301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-338-4523
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
690 S LOOP 336 W
Provider Second Line Business Practice Location Address:
SUITE 140
Provider Business Practice Location Address City Name:
CONROE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77304-3319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
936-441-0046
Provider Business Practice Location Address Fax Number:
936-441-0049
Provider Enumeration Date:
07/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  0101231445 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X , with the licence number: Q4985 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2311297 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6438168 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8109646 . This is a "ALLIANCE PCP CAPITATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8109646 . This is a "MAMSI MDIPA OPTIMUM CHOIC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 010272041 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2109646 . This is a "ALLIANCE NON PCP BILLING" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3339422 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 11180891 . This is a "CAQH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 145410 . This is a "ANTHEM HEALTHKEEPERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2222952 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 667514 . This is a "NCPPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: B309 0002 . This is a "CAREFIRST BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 54 1718492 . This is a "GREAT WEST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 54 1718492 . This is a "PHCS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 145410 . This is a "ANTHEM BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2109646 . This is a "MAMSI MDIPA OPTIMUM CHOIC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7387485 . This is a "AETNA MC PPO EPO" identifier . This identifiers is of the category "OTHER".




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