Provider Demographics
NPI:1265432835
Name:HURLEY, CATHY A (MD)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:A
Last Name:HURLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:A
Other - Last Name:HURLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:703 HILL COUNTRY DR STE 301
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-6162
Mailing Address - Country:US
Mailing Address - Phone:830-895-7676
Mailing Address - Fax:830-792-9637
Practice Address - Street 1:703 HILL COUNTRY DR
Practice Address - Street 2:SUITE 301
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-6159
Practice Address - Country:US
Practice Address - Phone:830-895-7676
Practice Address - Fax:830-895-7676
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1443207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX100634802Medicaid
F90872Medicare UPIN
TX80233GMedicare ID - Type Unspecified