Provider Demographics
NPI:1043065451
Name:MCCOLLUM, HUNTER WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:WILLIAM
Last Name:MCCOLLUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BROOKE ARMY MEDICAL CENTER, MCHE-MDX, INTERNAL MEDICINE
Mailing Address - Street 2:3551 ROGER BROOKE DR
Mailing Address - City:JBSA-FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-292-7868
Mailing Address - Fax:
Practice Address - Street 1:BROOKE ARMY MEDICAL CENTER, MCHE-MDX, INTERNAL MEDICINE
Practice Address - Street 2:3551 ROGER BROOKE DR
Practice Address - City:JBSA-FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-292-7868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider