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Individual

DR. RODERICK CECIL HUNTER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1600 COIT RD STE 209, PLANO, TX 75075
(972) 877-3939
Mailing address
1600 COIT RD STE 209, PLANO, TX 75075-6172
(972) 877-3939
(972) 767-3584

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2015
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
T30-2009
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200864279
TRICARE
05
315622601
TX
01
8DL780
BCBSTX
01
9836906
AETNA
Enumeration date
08/05/2009
Last updated
04/15/2022
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