Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | H0067 | TX |
NPI | 1205828951 |
---|---|
Provider Name | Daniel Lee Hurst |
First Address | Lubbock, TX 79408-5865 |
Second Address | Lubbock, TX 79430-0002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2005 |
Last Update Date | 10/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100042020A | (05) | OK |
115675101 | (05) | TX |
115675103 | FIRSTCARE COMMERCIAL (01) | TX |
118485504 | (05) | TX |
118485505 | (05) | TX |
37127 | (05) | NM |
37127 | PRESBYTERIAN COMMERCIAL (01) | NM |
80939Z | HMO BLUE (01) | TX |
8G6056 | BCBS (01) | TX |
A093 | TRIWEST (01) | NM |
C17252 | (02) | TX |
V6663 | (05) | NM |