Provider Demographics
NPI:1235275777
Name:HURST, ADELE HOFFMAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ADELE
Middle Name:HOFFMAN
Last Name:HURST
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8330 MEADOW RD
Mailing Address - Street 2:#126
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3767
Mailing Address - Country:US
Mailing Address - Phone:214-368-5855
Mailing Address - Fax:214-368-5855
Practice Address - Street 1:8330 MEADOW RD
Practice Address - Street 2:#126
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3767
Practice Address - Country:US
Practice Address - Phone:214-368-5855
Practice Address - Fax:214-368-5855
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24789103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00R61MMedicare UPIN