Provider Demographics
NPI:1174143713
Name:LUNT, CASEY (RDMS, RVT)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:LUNT
Suffix:
Gender:M
Credentials:RDMS, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 YOSEMITE PARK
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-1590
Mailing Address - Country:US
Mailing Address - Phone:214-668-1443
Mailing Address - Fax:
Practice Address - Street 1:4621 DUSK MEADOW DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-2069
Practice Address - Country:US
Practice Address - Phone:214-705-3654
Practice Address - Fax:469-521-1190
Is Sole Proprietor?:No
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2471V0106X, 2471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
No2471V0106XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular-Interventional Technology