Healthcare Provider Details

I. General information

NPI: 1922219351
Provider Name (Legal Business Name): MR. A.B. HURD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: A.B. HURD R.PH.

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 W. OREM SUITE B
HOUSTON TX
77045
US

IV. Provider business mailing address

4420 W. OREM SUITE B
HOUSTON TX
77045
US

V. Phone/Fax

Practice location:
  • Phone: 713-433-5656
  • Fax: 713-433-6653
Mailing address:
  • Phone: 713-433-5656
  • Fax: 713-433-6653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19511
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: