Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | R5869 | TX |
NPI | 1114217593 |
---|---|
Provider Name | Andrew Wayne Hurd |
First Address | Prosper, TX 75078-7955 |
Second Address | Plano, TX 75024-7739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2011 |
Last Update Date | 10/07/2018 |