Healthcare Provider Details

I. General information

NPI: 1013293083
Provider Name (Legal Business Name): CURT FAMILY MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2011
Last Update Date: 10/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 SHAMROCK DR
FLOWER MOUND TX
75028-4315
US

IV. Provider business mailing address

PO BOX 270371
FLOWER MOUND TX
75027-0371
US

V. Phone/Fax

Practice location:
  • Phone: 469-471-5964
  • Fax:
Mailing address:
  • Phone: 469-471-5964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberKV648
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number642845
License Number StateTX

VIII. Authorized Official

Name: REBECCA V WURMSTEIN
Title or Position: FNP-C
Credential: FNP
Phone: 469-471-5964