Healthcare Provider Details

I. General information

NPI: 1477713535
Provider Name (Legal Business Name): JAMES ANDREW HURST MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 06/19/2025
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 GASLIGHT BLVD
LUFKIN TX
75904-3166
US

IV. Provider business mailing address

208 GASLIGHT BLVD
LUFKIN TX
75904-3166
US

V. Phone/Fax

Practice location:
  • Phone: 936-634-8800
  • Fax: 936-634-8836
Mailing address:
  • Phone: 936-630-8808
  • Fax: 936-634-8836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number04-37030
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberP6426
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: