Organization
HURST MEDICAL CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SADY RODRIGUEZ (PRESIDENT)
(469) 909-8692
Entity
Organization
Contact information
Practice address
330 GRAPEVINE HWY, HURST, TX 76054-2429
(469) 909-8692
Mailing address
2224 ROBERTS CUTOFF RD, FORT WORTH, TX 76114-1889
(469) 909-8692
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
04/27/2024
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