1689802407 NPI number — FARRON CHERYL HUNT MD

Table of content: MICHELLE QUINTERO (NPI 1841731064)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689802407 NPI number — FARRON CHERYL HUNT MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUNT
Provider First Name:
FARRON
Provider Middle Name:
CHERYL
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:
1689802407
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/28/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6210 E HIGHWAY 290
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78723-1142
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-483-9596
Provider Business Mailing Address Fax Number:
512-406-6216

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11300 HWY 290 EAST
Provider Second Line Business Practice Location Address:
BLDG 2, SUITE 230
Provider Business Practice Location Address City Name:
MANOR
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78653-0397
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-582-6075
Provider Business Practice Location Address Fax Number:
512-406-6275
Provider Enumeration Date:
07/01/2009

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:  P0734 , 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: 301589304 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1093744187 . This is a "NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 080462703 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2439278 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 301589303 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com