Basic Information
Provider Information
NPI: 1598864571
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HURST
FirstName: FRANK
MiddleName: PORTER
NamePrefix: DR.
NameSuffix: JR.
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8901 ROCKVILLE PIKE
Address2:  
City: BETHESDA
State: MD
PostalCode: 208890001
CountryCode: US
TelephoneNumber: 3012954331
FaxNumber:  
Practice Location
Address1: 8901 ROCKVILLE PIKE
Address2:  
City: BETHESDA
State: MD
PostalCode: 208890001
CountryCode: US
TelephoneNumber: 3012954331
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/22/2006
LastUpdateDate: 03/03/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD-12866HIY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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