1407940349 NPI number — HILLER AND HURT PC

Table of content: (NPI 1407940349)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407940349 NPI number — HILLER AND HURT PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HILLER AND HURT PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407940349
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/27/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1810 23RD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GALVESTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77550-7904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
409-763-7025
Provider Business Mailing Address Fax Number:
409-763-8648

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1810 23RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GALVESTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77550-7904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
409-763-7025
Provider Business Practice Location Address Fax Number:
409-763-8648
Provider Enumeration Date:
10/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HURT
Authorized Official First Name:
BOBBIE
Authorized Official Middle Name:
S.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
409-763-7025

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  643280000 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1026870 . This is a "B HURT LICENSE #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1082741 . This is a "Y BOOKER LICENSE #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1034957 . This is a "J TOMBERLIN LICENSE #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1015105 . This is a "J HURT LICENSE #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 650021220 . This is a "RAILROAD MC# BOOKER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1001030 . This is a "M BAKER LICENSE #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 650021221 . This is a "RAILROAD MC # B HURT" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86444T . This is a "M BAKER BCBS #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 86445T . This is a "J TOMBERLIN BCBS#" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 89994T . This is a "B HURT BCBS #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 8T4268 . This is a "J HURT BCBS #" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 89995T . This is a "Y BOOKER BCBS#" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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