Active NPI
Hurst Medical Clinic Corp
- Geriatric Medicine (Family Medicine) Physician
- Hurst, TX
National Provider Identifier
1629789524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- HURST MEDICAL CLINIC CORP
- Practice address
- 330 Grapevine Hwy
Hurst, TX 76054-2429 - Phone
- (469) 909-8692
- NPI assigned
- Dec 12, 2022
- Last updated
- Apr 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sady Rodriguez
- Title
- President
- Phone
- (469) 909-8692
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | NU | Primary |
Addresses
Primary practice location
330 Grapevine Hwy
Hurst, TX 76054-2429
Mailing address
2224 Roberts Cutoff Rd
Fort Worth, TX 76114-1889
Phone (469) 909-8692
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714176000000",
"number": "1629789524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2224 ROBERTS CUTOFF RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761141889",
"telephone_number": "469-909-8692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 GRAPEVINE HWY",
"city": "HURST",
"state": "TX",
"postal_code": "760542429",
"telephone_number": "469-909-8692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HURST MEDICAL CLINIC CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-12",
"last_updated": "2024-04-27",
"certification_date": "2024-04-27",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "SADY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-909-8692",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
- Barbara Bellomo Hunter, M.O.T., OTR/L
- Linda K. Hurley, PH.D.
- Hurst Adult Day Care
- Hurst Ambulatory Surgery Center, LLC (Precinct Ambulatory Surgery Center, LLC)
- Hurst City Family and Cosmetic Dentistry
- Hurst Modern Dentistry and Orthodontics, PC
- Hurst Total Care PA
- Karen Hurtado, MS CCC-SLP
- Diana A Huston, MD
- Aniko Hutchison
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.