Healthcare Provider Details

I. General information

NPI: 1598196958
Provider Name (Legal Business Name): LETITIA HUNT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2013
Last Update Date: 12/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 N SAM HOUSTON PKWY E STE 215
HOUSTON TX
77060-4000
US

IV. Provider business mailing address

515 N SAM HOUSTON PKWY E STE 215
HOUSTON TX
77060-4000
US

V. Phone/Fax

Practice location:
  • Phone: 281-578-1205
  • Fax:
Mailing address:
  • Phone: 281-578-1205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number461019
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: