Individual
CLYDE O. HURST JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5001 HIGHWAY 190, SUITE D-5, COVINGTON, LA 70433-4956
(985) 892-9505
(985) 892-9505
Mailing address
5001 HIGHWAY 190, SUITE D-5, COVINGTON, LA 70433-4930
(985) 892-9505
(985) 892-9505
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
017937
LA
Other
Enumeration date
03/16/2006
Last updated
10/02/2013
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