| Hurst Medical Clinic Corp | |
|
330 Grapevine Hwy Hurst TX 76054-2429 | |
| (469) 909-8692 | |
| Not Available |
| Full Name | Hurst Medical Clinic Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 330 Grapevine Hwy, Hurst, Texas |
| Authorized Official Name and Position | Sady Rodriguez (PRESIDENT) |
| Authorized Official Contact | 4699098692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hurst Medical Clinic Corp 2224 Roberts Cutoff Rd Fort Worth TX 76114-1889 Ph: (469) 909-8692 | Hurst Medical Clinic Corp 330 Grapevine Hwy Hurst TX 76054-2429 Ph: (469) 909-8692 |
| NPI Number | 1629789524 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 04/27/2024 |
| Medicare PECOS PAC ID | 3476993031 |
|---|---|
| Medicare Enrollment ID | O20240430000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629789524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose Figueroa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366406522 PECOS PAC ID: 2062682602 Enrollment ID: I20240322001234 |
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