Glen D. Hurlston, M.D., Apmc
Organization Active NPI Anesthesiology Physician · Leesville, LA
NPI 1306913488 · NPPES record last updated May 28, 2026
Key facts
- NPI
- 1306913488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- GLEN D. HURLSTON, M.D., APMC
- Practice address
- 1020 W Fertitta Blvd
Leesville, LA 71446-4645 - Phone
- (337) 239-5114
- Fax
- (337) 239-5360
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Kevin Quinn
- Title
- Ceo
- Phone
- (337) 239-5114
Member of 1
Practitioners 45
-
Charles M Caldwell, M.D.
-
John David De Lapp, M.D.
-
Thomas E Dobbins, M.D.
-
Mark Jason Dominguez, M.D.
-
Thomas T Franks, CRNA
-
Nhu Quynh Hoang, DPM
-
Glen D Hurlston, MD
-
Martin Lacour, CRNA
-
David Allan Longmire Jr., M.D.
-
Tashfeen Mahmood, M.D.
-
Carl G Mallett, CRNA
-
Kunle Ojemakinde, MD
-
Andy Gerard Quebedeaux, M.D.
-
James R Rudd Sr., M.D.
-
Jocelyne Afif Saikali, M.D.
-
Danielle Kathleen Smyth, FNP-C
-
Corwin Ashford Thomas, D.O.
-
Gary Lane Wease, M.D.
-
Van H De Bruyn, M.D.
-
Nkechinyere Christina Nwoko, D.P.M
-
Rachael Garrison, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040826000006 | LA | Part B Supplier - Clinic/Group Practice | 3779557541 |
Receives reassigned benefits from 35 practitioners Practice locations: Leesville, LA |
National Provider Directory
Locations
300 E McNeese St
Ste 3A
Lake Charles, LA 70605
Phone (318) 480-1117
1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
1020 W Fertitta Blvd
Leesville, LA 71446-4645
Mailing address
1020 W Fertitta Blvd
Leesville, LA 71446-4645
Phone (337) 239-5114
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1949914 | Medicaid | LA |
Other providers in Leesville, LA
- Supriya Ghanta
- Khaled Mustafa Ghorab
- Jo Ann S Gibbs
- Victoria Gillick
- Savannah Glavan
- Rebecca Godfrey
- Celeste E Goins
- GPN-Leesville, LLC
- GPN-Leesville, LLC
- GPN-Leesville, LLC
All providers in Leesville, LA · Anesthesiology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.