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NPI Code Detail

MEDICARE: MR. GEORGE DUGAS PMHNP-BC

MEDICARE: MR. GEORGE DUGAS PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1020297TX
2363L00000XNurse Practitioner1020297TX

General Provider Information

NPI Number : 1477157063
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GEORGE DUGAS PMHNP-BC
Provider Business Mailing Address
First Line : 2323 W FRONT ST
Second Line :
City : TYLER
State : TX
Zip : 75702-7747
Country : US
Telephone Number : 903-597-1351
Fax Number :
Provider Business Practice Location Address
First Line : 2323 W FRONT ST
Second Line :
City : TYLER
State : TX
Zip : 75702-7747
Country : US
Telephone Number : 903-597-1351
Fax Number : 903-535-7384
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2020
Last Update Date : 05/29/2026

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Directions to “ MR. GEORGE DUGAS PMHNP-BC” Practice Location

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