Organization
GLEN D. HURLSTON, M.D., APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN QUINN (CEO)
(337) 239-5114
Entity
Organization
Contact information
Practice address
1020 W FERTITTA BLVD, LEESVILLE, LA 71446-4645
(337) 239-5114
(337) 239-5360
Mailing address
1020 W FERTITTA BLVD, LEESVILLE, LA 71446-4645
(337) 239-5114
(337) 239-5360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949914
—
LA
Enumeration date
11/30/2006
Last updated
05/28/2026
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