MEDICARE: EDWARD J HURWITZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	D3277	TX

General Provider Information

NPI Number	:	1598731309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD J HURWITZ MD

Provider Business Mailing Address
First Line	:	7515 MAIN ST
Second Line	:	SUITE 770
City	:	HOUSTON
State	:	TX
Zip	:	77030-4519
Country	:	US
Telephone Number	:	719-797-6171
Fax Number	:	713-797-6669

Provider Business Practice Location Address
First Line	:	2225 WILLIAMS TRACE BLVD
Second Line	:	SUITE 112
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4513
Country	:	US
Telephone Number	:	281-313-0006
Fax Number	:	281-265-3393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	03/09/2010

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