Healthcare Provider Details

I. General information

NPI: 1942606348
Provider Name (Legal Business Name): HURLEY HEALTH PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2014
Last Update Date: 02/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 OAK ST SUITE 12
CONWAY AR
72032-4473
US

IV. Provider business mailing address

813 OAK ST SUITE 12
CONWAY AR
72032-4473
US

V. Phone/Fax

Practice location:
  • Phone: 501-513-3322
  • Fax: 501-513-3065
Mailing address:
  • Phone: 501-513-3322
  • Fax: 501-513-3065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE HURLEY
Title or Position: OWNER
Credential:
Phone: 501-513-3322