Individual
MARIAH HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CPO/LPO
Contact information
Practice address
1015 SWANSON ST, HOUSTON, TX 77030-5011
(713) 795-8909
Mailing address
1015 SWANSON ST, HOUSTON, TX 77030-5011
(713) 795-8909
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
2030
TX
224P00000X
Prosthetist
2030
TX
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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