Individual
CHERYL L. HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNS-BC
Contact information
Practice address
900 W. 38TH STREET, SUITE 110, AUSTIN, TX 78705
(512) 421-3869
(512) 407-1873
Mailing address
900 W. 38TH STREET, SUITE 110, AUSTIN, TX 78705
(512) 421-3869
(512) 407-1873
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
630423
TX
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
630423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06006617Z
RAILROAD MEDICARE
TX
05
—
1639189-01
—
TX
01
—
87N
BC BS
TX
Enumeration date
08/09/2005
Last updated
01/27/2022
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