Provider Demographics
NPI:1194099119
Name:HYNES, URSULA DOROTHY (FNP)
Entity type:Individual
Prefix:MS
First Name:URSULA
Middle Name:DOROTHY
Last Name:HYNES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5904 SADDLERIDGE CT
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-8776
Mailing Address - Country:US
Mailing Address - Phone:817-466-4527
Mailing Address - Fax:
Practice Address - Street 1:5904 SADDLERIDGE CT
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-8776
Practice Address - Country:US
Practice Address - Phone:817-466-4527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX624605363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily