Provider Demographics
NPI:1447619549
Name:HURST TOTAL CARE PA
Entity Type:Organization
Organization Name:HURST TOTAL CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WALID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAADE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-346-3313
Mailing Address - Street 1:6049 S HULEN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4815
Mailing Address - Country:US
Mailing Address - Phone:817-346-3313
Mailing Address - Fax:817-346-3491
Practice Address - Street 1:400 MID CITIES BLVD
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-2430
Practice Address - Country:US
Practice Address - Phone:817-346-3313
Practice Address - Fax:817-346-3491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty