MEDICARE: BRITTNEY MAY PUGH

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
1	363A00000X	Physician Assistant	PA13797	TX
2	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1679017230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTNEY MAY PUGH

Provider Business Mailing Address
First Line	:	8515 GREENVILLE AVE
Second Line	:	STE N108
City	:	DALLAS
State	:	TX
Zip	:	75243-7035
Country	:	US
Telephone Number	:	214-221-0855
Fax Number	:	214-221-1437

Provider Business Practice Location Address
First Line	:	8515 GREENVILLE AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-7011
Country	:	US
Telephone Number	:	214-221-0855
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2016
Last Update Date	:	05/22/2026

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Directions to “ BRITTNEY MAY PUGH ” Practice Location

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