Provider Demographics
NPI:1013293083
Name:CURT FAMILY MEDICINE
Entity Type:Organization
Organization Name:CURT FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:V
Authorized Official - Last Name:WURMSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:469-471-5964
Mailing Address - Street 1:PO BOX 270371
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75027-0371
Mailing Address - Country:US
Mailing Address - Phone:469-471-5964
Mailing Address - Fax:
Practice Address - Street 1:1201 SHAMROCK DR
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-4315
Practice Address - Country:US
Practice Address - Phone:469-471-5964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-22
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXKV648207Q00000X
TX642845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty