Individual
HUNTER PADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
10207 MAJESTIC CT, MISSOURI CITY, TX 77459-1971
(832) 993-1480
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10636
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363296001
—
TX
01
—
363296002
CSHCN TPI
TX
01
—
8066NY
BCBS
TX
Enumeration date
06/23/2016
Last updated
08/11/2020
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