Healthcare Provider Details

I. General information

NPI: 1417663808
Provider Name (Legal Business Name): MORGAN HURTA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 01/27/2023
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 GENERATIONS DR STE 101
NEW BRAUNFELS TX
78130-0007
US

IV. Provider business mailing address

2977 GROVE WAY
SEGUIN TX
78155-0056
US

V. Phone/Fax

Practice location:
  • Phone: 830-387-4790
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1109161
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: