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General NPI Number Information
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NPI Number | 1477678308
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Entity Type | Individual
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Provider Name | ISELA HURTIG P.A.C.
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 933 COUNTY ROAD 300
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City | FALFURRIAS
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State | TX
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Zip | 78355-5272
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Country | US
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Telephone | 361-325-7122
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Fax |
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Provider Business Mailing Address
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Address Line | 3945 INTERSTATE HIGHWAY 69
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City | CORPUS CHRISTI
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State | TX
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Zip | 78410
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Country | US
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Telephone | 361-767-8332
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 01462
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA05151
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA05151
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License Number State | TX
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