Healthcare Provider Details

I. General information

NPI: 1447619549
Provider Name (Legal Business Name): HURST TOTAL CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2016
Last Update Date: 02/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 MID CITIES BLVD
HURST TX
76054-2430
US

IV. Provider business mailing address

6049 S HULEN ST SUITE B
FORT WORTH TX
76132-4815
US

V. Phone/Fax

Practice location:
  • Phone: 817-346-3313
  • Fax: 817-346-3491
Mailing address:
  • Phone: 817-346-3313
  • Fax: 817-346-3491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WALID SAADE
Title or Position: PHYSICIAN OWNER
Credential: M.D.
Phone: 817-346-3313