Provider Demographics
NPI:1225820020
Name:KURTH, TORI (NP)
Entity type:Individual
Prefix:
First Name:TORI
Middle Name:
Last Name:KURTH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 W. COLORADO BLVD. PAVILION II SUITE 831
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208
Mailing Address - Country:US
Mailing Address - Phone:214-933-7430
Mailing Address - Fax:214-947-8609
Practice Address - Street 1:221 W. COLORADO BLVD. PAVILION II SUITE 831
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75203-1201
Practice Address - Country:US
Practice Address - Phone:214-933-7430
Practice Address - Fax:214-947-8609
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1188796363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care