Healthcare Provider Details

I. General information

NPI: 1235275777
Provider Name (Legal Business Name): ADELE HOFFMAN HURST PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 01/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8330 MEADOW RD #126
DALLAS TX
75231-3767
US

IV. Provider business mailing address

8330 MEADOW RD #126
DALLAS TX
75231-3767
US

V. Phone/Fax

Practice location:
  • Phone: 214-368-5855
  • Fax: 214-368-5855
Mailing address:
  • Phone: 214-368-5855
  • Fax: 214-368-5855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number24789
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: