Individual
COREY RAY FEARHEILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2201 S CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 526-7523
Mailing address
3747 BOWEN RD, TOLEDO, OH 43613-4826
(419) 474-8443
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M7175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AB484
BCBS
TX
01
—
8AS824
BCBS
TX
01
—
8V5769
BCBS
TX
01
—
8W1006
BCBS
TX
01
—
8X6274
BCBS
TX
01
—
8X9293
BCBS
TX
Enumeration date
03/20/2007
Last updated
03/05/2008
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