Provider Demographics
NPI:1871536193
Name:HURD, PAUL W (MD PA)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:W
Last Name:HURD
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6124 W PARKER RD
Mailing Address - Street 2:SUITE #336
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8122
Mailing Address - Country:US
Mailing Address - Phone:972-403-3100
Mailing Address - Fax:972-403-3105
Practice Address - Street 1:6124 W PARKER RD
Practice Address - Street 2:SUITE #336
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8122
Practice Address - Country:US
Practice Address - Phone:972-403-3100
Practice Address - Fax:972-403-3105
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF16702084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00QC08OtherBLUECROSS BLUESHIELD
B23657Medicare UPIN
TX00QC08Medicare ID - Type Unspecified