Individual
HUNTER M ADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4411 MEDICAL DR, STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-5732
Mailing address
4411 MEDICAL DR, STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-5732
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L5212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L5212
TEXAS MEDICAL LICENSE #
TX
Enumeration date
01/20/2006
Last updated
01/02/2008
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