Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | J2614 | TX |
NPI | 1295842359 |
---|---|
Provider Name | Thelma Hurd |
First Address | San Antonio, TX 78229 |
Second Address | San Antonio, TX 78229-4427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 17/07/2007 |