Individual
WAYNE ALAN HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
601 E WHITESTONE BLVD, SUITE 226, CEDAR PARK, TX 78613-9015
(512) 259-3338
(512) 528-1472
Mailing address
601 E WHITESTONE BLVD, SUITE 226, CEDAR PARK, TX 78613-9015
(512) 259-3338
(512) 528-1472
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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