SWSC-Hurst Physicianss, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

535207 Issued in TX

Legal business name

SWSC-HURST PHYSICIANSS, INC

Practice address

1612 Hurst Town Center Dr
Hurst, TX 76054-6236

Phone

(817) 345-4100

Fax

(817) 345-4089

NPI assigned

Sep 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Trudy Wiig

Title

President

Phone

(817) 345-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221955200000",
    "number": "1316197866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 HURST TOWN CENTER DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760546236",
            "telephone_number": "817-345-4100",
            "fax_number": "817-345-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 HURST TOWN CENTER DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760546236",
            "telephone_number": "817-345-4100",
            "fax_number": "817-345-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWSC-HURST PHYSICIANSS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-21",
        "last_updated": "2008-09-21",
        "status": "A",
        "authorized_official_last_name": "WIIG",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-345-4100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "TX",
            "license": "535207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "535207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Hurst, TX
• Providers in Hurst, TX by specialty
• Voluntary or Charitable Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.