| Hurst Osteopathic Medicine, A Professional Corp | |
|
1530 Bessie Ave Suite 104 Tracy CA 95376-3080 | |
| (209) 833-0272 | |
| (209) 839-8473 |
| Full Name | Hurst Osteopathic Medicine, A Professional Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1530 Bessie Ave, Tracy, California |
| Authorized Official Name and Position | Michael D Hurst (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 2098330272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hurst Osteopathic Medicine, A Professional Corp 1530 Bessie Ave Suite 104 Tracy CA 95376-3080 Ph: (209) 833-0272 | Hurst Osteopathic Medicine, A Professional Corp 1530 Bessie Ave Suite 104 Tracy CA 95376-3080 Ph: (209) 833-0272 |
| NPI Number | 1821394875 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 02/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821394875 | NPI | - | NPPES |
| 00AX80810 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A8081 (California) | Primary |
| 208000000X | Pediatrics | 20A8081 (California) | Secondary |
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