Provider Demographics
NPI:1285755306
Name:HURD, BELINDA JOYCE
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:JOYCE
Last Name:HURD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 RUSSELL GLEN LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-2445
Mailing Address - Country:US
Mailing Address - Phone:214-371-3539
Mailing Address - Fax:214-376-4510
Practice Address - Street 1:1530 RUSSELL GLEN LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-2445
Practice Address - Country:US
Practice Address - Phone:214-371-3539
Practice Address - Fax:214-376-4510
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN001004279OtherDADS