Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | P3676 | TX |
NPI | 1023234655 |
---|---|
Provider Name | Stephen Richard Tolhurst |
First Address | Flower Mound, TX 75028-1881 |
Second Address | Flower Mound, TX 75028-1881 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 24/05/2015 |