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NPI Code Detail

MEDICARE: DR. FRANK ANTHONY PUGLIESE PH.D.

MEDICARE:  DR. FRANK ANTHONY PUGLIESE  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist21763TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225032790
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK ANTHONY PUGLIESE PH.D.
Provider Business Mailing Address
First Line : 2027 SOUTH 61ST STREET
Second Line : SUITE 126
City : TEMPLE
State : TX
Zip : 76504-6817
Country : US
Telephone Number : 254-774-8272
Fax Number : 254-774-8290
Provider Business Practice Location Address
First Line : 2027 SOUTH 61ST ST.
Second Line : SUITE 126
City : TEMPLE
State : TX
Zip : 76504-6817
Country : US
Telephone Number : 254-774-8272
Fax Number : 254-774-8290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2005
Last Update Date : 06/09/2015

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Directions to “ DR. FRANK ANTHONY PUGLIESE PH.D.” Practice Location

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