Healthcare Provider Details

I. General information

NPI: 1679266258
Provider Name (Legal Business Name): HUGH JOSEPH DOYLE III RN, RRT, NREMT-P
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 07/22/2023
Certification Date: 07/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 GREENHOUSE RD APT 8103
HOUSTON TX
77084-7825
US

IV. Provider business mailing address

2040 GREENHOUSE RD APT 8103
HOUSTON TX
77084-7825
US

V. Phone/Fax

Practice location:
  • Phone: 757-560-3830
  • Fax:
Mailing address:
  • Phone: 757-560-3830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2279P4000X
TaxonomyPatient Transport Registered Respiratory Therapist
License NumberRCP020000151
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number1126078
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License Number743211
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: