Healthcare Provider Details

I. General information

NPI: 1609952019
Provider Name (Legal Business Name): TROY M. HURST D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N ELM ST
DENTON TX
76201-3021
US

IV. Provider business mailing address

1501 N ELM ST
DENTON TX
76201-3021
US

V. Phone/Fax

Practice location:
  • Phone: 940-484-5106
  • Fax: 940-387-0010
Mailing address:
  • Phone: 940-484-5106
  • Fax: 940-387-0010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number7946
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: