Healthcare Provider Details

I. General information

NPI: 1164874954
Provider Name (Legal Business Name): HUNTER CASKEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2016
Last Update Date: 02/01/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 RIVER OAKS RD W
HARAHAN LA
70123
US

IV. Provider business mailing address

5900 BALCONES DRIVE STE 4000
AUSTIN TX
78731
US

V. Phone/Fax

Practice location:
  • Phone: 800-366-1740
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number32359
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number322579
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number32359
License Number StateOK
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number28429
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: