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Individual

RICHARD KENNETH HURLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1507 W MAIN ST, GATESVILLE, TX 76528-1024
(254) 248-2166
(254) 248-0626
Mailing address
1507 W MAIN ST, GATESVILLE, TX 76528-1024
(254) 865-2166
(254) 248-0626

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
E8581
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050038085
RAILROAD MCR INDIVIDUAL
TX
01
115672100
FIRSTCARE #
TX
05
120611202
TX
Enumeration date
05/23/2005
Last updated
11/18/2024
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