MEDICARE: ISAAC Z PUGACH MD PLLC

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1154445815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ISAAC Z PUGACH MD PLLC

Provider Business Mailing 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

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	:	MANAGER
Name	:	ISAAC Z PUGACH
Credential	:	M.D.
Telephone Number	:	972-792-7777

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	07/19/2021

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