Provider Demographics
NPI:1366299588
Name:HUNT, OSHAWA SHANAE
Entity type:Individual
Prefix:
First Name:OSHAWA
Middle Name:SHANAE
Last Name:HUNT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 SUNLIGHT BLVD
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-2397
Mailing Address - Country:US
Mailing Address - Phone:210-848-8688
Mailing Address - Fax:
Practice Address - Street 1:301 SUNLIGHT BLVD
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-2397
Practice Address - Country:US
Practice Address - Phone:210-848-8688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health