Linda Hua, PA-C
Individual provider Active NPI Physician Assistant · Hurst, TX
NPI 1326424151 · NPPES record last updated Aug 5, 2021
Key facts
- NPI
- 1326424151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA09986 (TX)
- Practice address
- 804 NE Mall Blvd
Hurst, TX 76053-4653 - Phone
- (817) 592-9700
- NPI assigned
- Aug 4, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
-
Gina Gay Harney, M.D.
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Skin MD PA
Practice addresses (Care Compare)
750 Eureka St
Suite a
Weatherford, TX 76086-6521
Phone (817) 550-6073
804 NE Mall Blvd
Hurst, TX 76053-4653
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170615000482 | TX | Practitioner - Physician Assistant | 5193093151 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA09986 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Institute | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/OUq4sfoCPKtQL-ACHoGyRXMXcfN_WjFC/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA09986 | TX | Yes |
Addresses
Primary practice location
804 NE Mall Blvd
Hurst, TX 76053-4653
Mailing address
804 NE Mall Blvd
Hurst, TX 76053-4653
NPI Registry JSON
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1326424151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 NE MALL BLVD",
"city": "HURST",
"state": "TX",
"postal_code": "760534653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 NE MALL BLVD",
"city": "HURST",
"state": "TX",
"postal_code": "760534653",
"telephone_number": "817-592-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUA",
"first_name": "LINDA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-04",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA09986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.