Organization
SWSC-HURST PHYSICIANSS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRUDY WIIG (PRESIDENT)
(817) 345-4100
Entity
Organization
Contact information
Practice address
1612 HURST TOWN CENTER DR, HURST, TX 76054-6236
(817) 345-4100
(817) 345-4089
Mailing address
1612 HURST TOWN CENTER DR, HURST, TX 76054-6236
(817) 345-4100
(817) 345-4089
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
535207
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
535207
TEXAS MEDICAL BOARD
TX
Enumeration date
09/21/2008
Last updated
09/21/2008
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