Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | 743287 | TX |
N | 363LP0200X | Nurse Practitioner - Pediatrics | AP122617 | TX |
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP122617 | TX |
NPI | 1073858338 |
---|---|
Provider Name | Heather Lynne Hurford |
First Address | Dallas, TX 75373-3784 |
Second Address | Mansfield, TX 76063-9164 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2012 |
Last Update Date | 15/04/2021 |