Healthcare Provider Details

I. General information

NPI: 1912985193
Provider Name (Legal Business Name): PAUL HURST M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 N NEW RIVER DR E APT 950
FORT LAUDERDALE FL
33301-1075
US

IV. Provider business mailing address

501 MIDWESTERN PKWY E
WICHITA FALLS TX
76302-2302
US

V. Phone/Fax

Practice location:
  • Phone: 940-642-8162
  • Fax: 864-516-7838
Mailing address:
  • Phone: 940-766-3551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberL6949
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME142425
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: