Organization
BRIARWOOD CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN V HURT MD (ADMINISTRATOR/PRESIDENT)
(575) 392-2040
Entity
Organization
Contact information
Practice address
5000 BRIARWOOD AVE, SUITE 203, MIDLAND, TX 79707-2753
(432) 687-6870
(432) 687-5558
Mailing address
2410 N FOWLER ST, HOBBS, NM 88240-2312
(575) 392-2040
(575) 392-6752
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358966503
—
TX
Enumeration date
12/01/2015
Last updated
04/13/2017
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