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NPI 1730519059 · Family Medicine Physician · Dayton, TX
Provider details
- NPI number
- 1730519059
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Philip Kurtz, Chief Executive Officer(918) 779-7431
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
119 1/2 Bryan St
Dayton, TX 77535-2661
Phone: (936) 681-8110
Fax: (539) 777-2507
Street-level locationGet directions
Mailing address
4500 S 129th East Ave Ste 191
Tulsa, OK 74134-5891
Registry dates
- Enumerated
- 2013-11-22
- Last updated
- 2013-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.