Healthcare Provider Details

I. General information

NPI: 1871536193
Provider Name (Legal Business Name): PAUL W HURD MD PA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 05/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6124 W PARKER RD SUITE #336
PLANO TX
75093-8122
US

IV. Provider business mailing address

6124 W PARKER RD SUITE #336
PLANO TX
75093-8122
US

V. Phone/Fax

Practice location:
  • Phone: 972-403-3100
  • Fax: 972-403-3105
Mailing address:
  • Phone: 972-403-3100
  • Fax: 972-403-3105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberF1670
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: