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Individual
WAYNE ALAN HURST
Active
Individual
WAYNE ALAN HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1180
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00618Z
GROUP MEDICARE
TX
05
—
121568305
—
TX
01
—
178090001
GROUP MEDICAID
TX
01
—
480016443
RAILROAD MEDICARE
TX
01
—
5608850001
DMERC-MEDICARE
TX
01
—
8BD530
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
07/09/2006
Last updated
06/04/2008
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