Provider Demographics
NPI:1407940349
Name:HILLER AND HURT PC
Entity Type:Organization
Organization Name:HILLER AND HURT PC
Other - Org Name:PHYSICAL THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:HURT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:409-763-7025
Mailing Address - Street 1:1810 23RD ST
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-7904
Mailing Address - Country:US
Mailing Address - Phone:409-763-7025
Mailing Address - Fax:409-763-8648
Practice Address - Street 1:1810 23RD ST
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-7904
Practice Address - Country:US
Practice Address - Phone:409-763-7025
Practice Address - Fax:409-763-8648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX643280000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1026870OtherB HURT LICENSE #
TX1082741OtherY BOOKER LICENSE #
TX1034957OtherJ TOMBERLIN LICENSE #
TX1015105OtherJ HURT LICENSE #
TX650021220OtherRAILROAD MC# BOOKER
TX1001030OtherM BAKER LICENSE #
TX650021221OtherRAILROAD MC # B HURT
TX86444TOtherM BAKER BCBS #
TX86445TOtherJ TOMBERLIN BCBS#
TX89994TOtherB HURT BCBS #
TX8T4268OtherJ HURT BCBS #
TX89995TOtherY BOOKER BCBS#
TX650021220OtherRAILROAD MC# BOOKER
TX1082741OtherY BOOKER LICENSE #
TX83655EMedicare ID - Type UnspecifiedJ TOMBERLIN MC #
TX00107SMedicare ID - Type UnspecifiedGROUP #
TX650021221OtherRAILROAD MC # B HURT
TX1015105OtherJ HURT LICENSE #