MEDICARE: SOFYA PUGACH MD

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	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	25MA08003600	NJ
2	2083X0100X	Occupational Medicine Physician	W6757	TX

General Provider Information

NPI Number	:	1104026608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOFYA PUGACH MD

Provider Business Mailing Address
First Line	:	7759 WORTHING ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75252-6449
Country	:	US
Telephone Number	:	972-250-2497
Fax Number	:

Provider Business Practice Location Address
First Line	:	660 N CENTRAL EXPY STE 640
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-6856
Country	:	US
Telephone Number	:	972-792-7777
Fax Number	:	469-969-0090

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

Provider Enumeration Date	:	07/23/2007
Last Update Date	:	06/25/2026

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Directions to “ SOFYA PUGACH MD” Practice Location

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