Provider Demographics
NPI:1437388451
Name:HURTADO, VERONICA EUGENIA (MD)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:EUGENIA
Last Name:HURTADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:EUGENIA
Other - Last Name:LOMBARDINO-HURTADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:415 W. LITTLE YORK RD. STE C.
Mailing Address - Street 2:STE. C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076
Mailing Address - Country:US
Mailing Address - Phone:713-692-0600
Mailing Address - Fax:713-699-9352
Practice Address - Street 1:415 W. LITTLE YORK RD. STE C.
Practice Address - Street 2:STE. C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076
Practice Address - Country:US
Practice Address - Phone:713-692-0600
Practice Address - Fax:713-699-9352
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-12
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5819207V00000X
TXBP20039426390200000X
OH390200000X
MA241607207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program