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NPI Code Detail

MEDICARE: MRS. CHARLECE HUGHES D.O.

MEDICARE:  MRS. CHARLECE  HUGHES  D.O.
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
12084N0400XNeurology PhysicianDR.0069507CO
22084N0400XNeurology PhysicianL5773TX

General Provider Information

NPI Number : 1326039215
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHARLECE HUGHES D.O.
Provider Business Mailing Address
First Line : 1307 8TH AVE
Second Line : #408
City : FORT WORTH
State : TX
Zip : 76104-4137
Country : US
Telephone Number : 817-921-4191
Fax Number : 817-429-7783
Provider Business Practice Location Address
First Line : 1307 8TH AVE
Second Line : #408
City : FORT WORTH
State : TX
Zip : 76104-4137
Country : US
Telephone Number : 817-921-4191
Fax Number : 817-429-7783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 09/26/2022

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Directions to “ MRS. CHARLECE HUGHES D.O.” Practice Location

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