Healthcare Provider Details

I. General information

NPI: 1265432835
Provider Name (Legal Business Name): CATHY A HURLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHY A HURLEY M.D.

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 11/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 HILL COUNTRY DR SUITE 301
KERRVILLE TX
78028-6159
US

IV. Provider business mailing address

703 HILL COUNTRY DR STE 301
KERRVILLE TX
78028-6162
US

V. Phone/Fax

Practice location:
  • Phone: 830-895-7676
  • Fax: 830-895-7676
Mailing address:
  • Phone: 830-895-7676
  • Fax: 830-792-9637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberH1443
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: