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PAIN CLINIC PA RICHARD K. HURLEY MD NPI 1871501023


NPI Information

NPI: 1871501023
Provider Name: PAIN CLINIC PA RICHARD K. HURLEY MD
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
405 LONDONDERRY DR
SUITE #311
WACO, TX
ZIP 76712
Phone: (254) 235-4414
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PAIN CLINIC PA RICHARD K. HURLEY MD is a pain medicine anesthesiology in Waco, TX. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. PAIN CLINIC PA RICHARD K. HURLEY MD NPI is 1871501023. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

405 LONDONDERRY DR
SUITE #311
WACO, TX
ZIP 76712-922
Phone: (254) 235-4414
Fax: (254) 235-7378

The provider's authorized official is Richard Kenneth Hurley .
The authorized official title is President and has the following contact phone number (254) 235-4414.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 12/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineE8581TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11206112-03MEDICAIDTEXAS
200HA61MEDICARE ID-TYPE UNSPECIFIEDTEXAS
3C17247MEDICARE UPINTEXAS
4CE0492OTHERTEXASRAILROAD MEDICARE
50076EROTHERTEXASBLUE CROSS GROUP
66469530001MEDICARE NSCTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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