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NPI Code Detail

MEDICARE: CRAIG C KUGLEN JR. M.D.

MEDICARE: CRAIG C KUGLEN JR. M.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
1207W00000XOphthalmology PhysicianH9530TX

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 : 1639172422
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG C KUGLEN JR. M.D.
Provider Business Mailing Address
First Line : 400 S LOOP 336 W
Second Line :
City : CONROE
State : TX
Zip : 77304-3302
Country : US
Telephone Number : 936-539-4500
Fax Number : 936-539-1216
Provider Business Practice Location Address
First Line : 400 S LOOP 336 W
Second Line :
City : CONROE
State : TX
Zip : 77304-3302
Country : US
Telephone Number : 936-539-4500
Fax Number : 936-539-1216
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 03/12/2019

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