Individual
DR. KRISTINA P HURSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31369
SC
207R00000X
Internal Medicine Physician
M0762
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M0762
STATE LICENSE #
TX
01
—
P00382491
RAILROAD MEDICARE PTAN
—
Enumeration date
05/16/2006
Last updated
07/21/2022
Update your record
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