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Individual

MR. PAUL EDWARD HUNNICUTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN, PMHNP-BC, CCM

Contact information

Practice address
6711 S NEW BRAUNFELS AVE, SAN ANTONIO, TX 78223-3005
(210) 532-8811
Mailing address
420 N AUSTIN ST STE 3, SEGUIN, TX 78155-4905
(210) 722-6311

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
840630
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1083939
TX

Other

Enumeration date
06/15/2022
Last updated
12/06/2023
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