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NPI Code Detail

MEDICARE: SAMUEL A MUGFORD CRNA

MEDICARE:   SAMUEL A MUGFORD  CRNA
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
1367500000XCertified Registered Nurse AnesthetistAP110932TX
2367500000XCertified Registered Nurse Anesthetist290090AZ

General Provider Information

NPI Number : 1306820576
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL A MUGFORD CRNA
Provider Business Mailing Address
First Line : PO BOX 650865
Second Line :
City : DALLAS
State : TX
Zip : 75265-0865
Country : US
Telephone Number : 972-715-5000
Fax Number : 972-715-9976
Provider Business Practice Location Address
First Line : 2000 A TRANSMOUNTAIN RD.
Second Line :
City : EL PASO
State : TX
Zip : 79911
Country : US
Telephone Number : 915-215-5666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 09/29/2025

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Directions to “ SAMUEL A MUGFORD CRNA” Practice Location

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