Basic Information
Provider Information
NPI: 1831572767
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUNTER
FirstName: JOCELYN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7703 FLOYD CURL DRIVE
Address2: DEPARTMENT OF SURGERY MSC 7740
City: SAN ANTONIO
State: TX
PostalCode: 782293900
CountryCode: US
TelephoneNumber: 2107434130
FaxNumber:  
Practice Location
Address1: 7703 FLOYD CURL DR DEPT OF
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782293901
CountryCode: US
TelephoneNumber: 2107434130
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/09/2015
LastUpdateDate: 06/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/22/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XS4783TXY Allopathic & Osteopathic PhysiciansSurgery 
390200000XTRN21716FLN Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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