Basic Information
| Provider Information | |||||||||
| NPI: | 1083915904 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUNT | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | HAROLD | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1208 MINGLEWOOD LN | ||||||||
| Address2: | |||||||||
| City: | FRIENDSWOOD | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775464908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9202512001 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4801 E SAM HOUSTON PKWY S | ||||||||
| Address2: | |||||||||
| City: | PASADENA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775053955 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2819915463 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/09/2010 | ||||||||
| LastUpdateDate: | 07/17/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | N7284 | TX | N | Allopathic & Osteopathic Physicians | General Practice | 207Q00000X | N7284 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.