Healthcare Provider Details

I. General information

NPI: 1023405677
Provider Name (Legal Business Name): TIFFANY LE'SHANN DUGAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TIFFANY LE'SHANN SCOTT

II. Dates (important events)

Enumeration Date: 04/22/2015
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5018 SAN FELIPE ST
HOUSTON TX
77056-3602
US

IV. Provider business mailing address

17115 LAKEWAY PARK
TOMBALL TX
77375-8396
US

V. Phone/Fax

Practice location:
  • Phone: 832-696-2989
  • Fax:
Mailing address:
  • Phone: 832-696-2989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberR7320
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License NumberR7320
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number303712
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: