Provider Demographics
NPI:1447726690
Name:HURST, ASHLEY N (RD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:N
Last Name:HURST
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1923 PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1250
Mailing Address - Country:US
Mailing Address - Phone:281-903-5134
Mailing Address - Fax:
Practice Address - Street 1:15200 SOUTHWEST FWY STE 266
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3865
Practice Address - Country:US
Practice Address - Phone:281-903-5134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered