Healthcare Provider Details

I. General information

NPI: 1689056566
Provider Name (Legal Business Name): CINDY H HURD D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2015
Last Update Date: 09/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20300 FRANZ RD
KATY TX
77449-5853
US

IV. Provider business mailing address

939 SMOKETHORN TRL
RICHMOND TX
77406-7228
US

V. Phone/Fax

Practice location:
  • Phone: 832-321-4210
  • Fax:
Mailing address:
  • Phone: 832-641-9582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number31082
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: