MEDICARE: PUGMAN, INC

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	251E00000X	Home Health Agency	009747	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316025539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PUGMAN, INC

Provider Business Mailing Address
First Line	:	9515 CANTURA CRST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78250-1717
Country	:	US
Telephone Number	:	210-289-1582
Fax Number	:	210-680-1180

Provider Business Practice Location Address
First Line	:	9515 CANTURA CRST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78250-1717
Country	:	US
Telephone Number	:	210-289-1582
Fax Number	:	210-680-1180

Authorized Official
Title or Position	:	RN-ADM
Name	:	MS. UGO CHINYERE UWAKA
Credential	:	BSN-RN
Telephone Number	:	210-289-1582

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	03/17/2018

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Directions to “PUGMAN, INC ” Practice Location

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