Healthcare Provider Details

I. General information

NPI: 1336736305
Provider Name (Legal Business Name): HUNTER SMITH RNFA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2020
Last Update Date: 12/24/2020
Certification Date: 12/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 PINECROFT DR
SHENANDOAH TX
77380-3218
US

IV. Provider business mailing address

25910 MORGAN SPGS
SPRING TX
77373-4608
US

V. Phone/Fax

Practice location:
  • Phone: 713-422-3564
  • Fax:
Mailing address:
  • Phone: 713-422-3564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MRS. JAMIE A HUNTER
Title or Position: OWNER
Credential: RNFA
Phone: 713-422-3564