Healthcare Provider Details

I. General information

NPI: 1447241427
Provider Name (Legal Business Name): CURTIS J. HUNTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3851 ROGER BROOKE DR BROOKE ARMY MEDICAL CENTER MCHE-QD/CREDENTIALS
FORT SAM HOUSTON TX
78234-4501
US

IV. Provider business mailing address

25826 LEWIS RANCH RD
NEW BRAUNFELS TX
78132-2512
US

V. Phone/Fax

Practice location:
  • Phone: 210-916-5512
  • Fax: 210-916-2265
Mailing address:
  • Phone: 210-916-5512
  • Fax: 210-916-2265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number31656
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: