Healthcare Provider Details

I. General information

NPI: 1194666099
Provider Name (Legal Business Name): CECIL JAMES MAGTOTO BUGUIS DLM, MLS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 JEFFEE DR
KERMIT TX
79745-4610
US

IV. Provider business mailing address

5704 FLYCATCHER RD
MIDLAND TX
79705-2882
US

V. Phone/Fax

Practice location:
  • Phone: 432-586-8242
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246QL0901X
TaxonomyDiplomate Laboratory Management Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: