Healthcare Provider Details

I. General information

NPI: 1851689616
Provider Name (Legal Business Name): FRANCISCO SERGIO HURTADO RNFA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2011
Last Update Date: 11/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SUGAR CREEK CENTER BLVD STE 618
SUGAR LAND TX
77478-3540
US

IV. Provider business mailing address

1 SUGAR CREEK CENTER BLVD STE 618
SUGAR LAND TX
77478-3540
US

V. Phone/Fax

Practice location:
  • Phone: 832-655-4141
  • Fax: 713-457-5188
Mailing address:
  • Phone: 832-655-4141
  • Fax: 713-457-5188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number780786
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: