MEDICARE: GABRIELLE HURST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1407578	TX

General Provider Information

NPI Number	:	1881541126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE HURST

Provider Business Mailing Address
First Line	:	4108 WILD AZALEA AVE APT 2121
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-0622
Country	:	US
Telephone Number	:	808-208-3375
Fax Number	:

Provider Business Practice Location Address
First Line	:	6601 HARRIS PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-6108
Country	:	US
Telephone Number	:	817-738-9866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ GABRIELLE HURST ” Practice Location

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