Provider Demographics
NPI:1366485237
Name:HURLEY, JAMES MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:HURLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2604 SAINT MICHAEL DR
Mailing Address - Street 2:STE 345
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-2379
Mailing Address - Country:US
Mailing Address - Phone:903-838-5500
Mailing Address - Fax:903-614-6140
Practice Address - Street 1:2604 SAINT MICHAEL DR
Practice Address - Street 2:STE 345
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2379
Practice Address - Country:US
Practice Address - Phone:903-838-5500
Practice Address - Fax:903-614-6140
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG0435207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2317249OtherBLUE LINK
AR103419001Medicaid
TX0004466369OtherAETNA
TX123684602Medicaid
AR81864OtherBCBS OF ARKANSAS
TX86V153OtherBCBS OF TEXAS
OK100167400AMedicaid
AR148320000OtherQUAL CHOICE
TXC17249Medicare UPIN
TX86V153Medicare PIN