Provider Demographics
NPI:1457486847
Name:THOMAS L KURT MD MPH PA
Entity Type:Organization
Organization Name:THOMAS L KURT MD MPH PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:KURT
Authorized Official - Suffix:
Authorized Official - Credentials:MD MPH
Authorized Official - Phone:214-361-4870
Mailing Address - Street 1:PO BOX 25127
Mailing Address - Street 2:7039 LUPTON DRIVE
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225
Mailing Address - Country:US
Mailing Address - Phone:214-361-4870
Mailing Address - Fax:214-361-4817
Practice Address - Street 1:7039 LUPTON DRIVE
Practice Address - Street 2:BUSINESS OFFICE
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225
Practice Address - Country:US
Practice Address - Phone:214-361-4870
Practice Address - Fax:214-361-4817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE76422083T0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083T0002XAllopathic & Osteopathic PhysiciansPreventive MedicineMedical ToxicologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK8436328OtherDEA
AK8436328OtherDEA