Provider Demographics
NPI:1467563411
Name:KURTH, DANNY J (DC)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:J
Last Name:KURTH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 WINSCOTT RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76126-2778
Mailing Address - Country:US
Mailing Address - Phone:817-249-8888
Mailing Address - Fax:817-249-4098
Practice Address - Street 1:1008 WINSCOTT RD
Practice Address - Street 2:SUITE A
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76126-2778
Practice Address - Country:US
Practice Address - Phone:817-249-8888
Practice Address - Fax:817-249-4098
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7102111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K8451OtherBC/BS
TX318491Medicare PIN
TX8K8451OtherBC/BS
TX8G1362Medicare ID - Type UnspecifiedGROUP MEDICARE #
TX318493YVRGMedicare PIN