MEDICARE: DAVID W TUGGLE 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	2086S0102X	Surgical Critical Care Physician	15118	OK
2	2086S0120X	Pediatric Surgery Physician	15118	OK

General Provider Information

NPI Number	:	1346218526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID W TUGGLE MD

Provider Business Mailing Address
First Line	:	1301 BARBARA JORDAN BLVD
Second Line	:	SUITE 400
City	:	AUSTIN
State	:	TX
Zip	:	78723-3077
Country	:	US
Telephone Number	:	512-324-9999
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 BARBARA JORDAN BLVD
Second Line	:	SUITE 400
City	:	AUSTIN
State	:	TX
Zip	:	78723-3077
Country	:	US
Telephone Number	:	512-324-9999
Fax Number	:

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/22/2013

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Directions to “ DAVID W TUGGLE MD” Practice Location

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