MEDICARE: MRS. CYNTHIA HUNT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	247200000X	Other Technician	008599813	LA

General Provider Information

NPI Number	:	1801247358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA HUNT

Provider Business Mailing Address
First Line	:	1010 HANOVER DR
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-6507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 HANOVER DR
Second Line	:
City	:	FORNEY
State	:	TX
Zip	:	75126-6507
Country	:	US
Telephone Number	:	318-245-1100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2016
Last Update Date	:	06/27/2016

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Directions to “ MRS. CYNTHIA HUNT ” Practice Location

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