Corey Ray Fearheiley
Emergency Physician
2201 S Clear Creek Rd
Killeen
, Texas 76549-4110
Corey Ray Fearheiley
Emergency Physician
2201 S Clear Creek Rd
Killeen
, Texas 76549-4110
(419) 474-8443
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Corey Ray Fearheiley
- 3747 Bowen Rd
- Toledo, OH
- Zip : 43613-4826
- Phone : (419) 474-8443
Second Address
- Corey Ray Fearheiley
- 2201 S Clear Creek Rd
- Killeen, TX
- Zip : 76549-4110
- Phone : (254) 526-7523
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | M7175 | TX |
National Provider Identifier
| NPI | 1013032218 |
|---|---|
| Provider Name | Corey Ray Fearheiley |
| First Address | Toledo, OH 43613-4826 |
| Second Address | Killeen, TX 76549-4110 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2007 |
| Last Update Date | 05/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8AB484 | BCBS (01) | TX |
| 8AS824 | BCBS (01) | TX |
| 8V5769 | BCBS (01) | TX |
| 8W1006 | BCBS (01) | TX |
| 8X6274 | BCBS (01) | TX |
| 8X9293 | BCBS (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.