Provider Demographics
NPI:1790108413
Name:ALAN B HURSCHMAN, M.D., P.A.
Entity Type:Organization
Organization Name:ALAN B HURSCHMAN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:HURSCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-877-3592
Mailing Address - Street 1:1200 W MAGNOLIA AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4481
Mailing Address - Country:US
Mailing Address - Phone:817-877-3592
Mailing Address - Fax:817-877-3328
Practice Address - Street 1:1200 W MAGNOLIA AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4481
Practice Address - Country:US
Practice Address - Phone:817-877-3592
Practice Address - Fax:817-877-3328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty