MEDICARE: BERNARD MICHAEL TOUGAS JR. D.C, P.A.-C

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	111N00000X	Chiropractor	1462	AR
2	111N00000X	Chiropractor	3388	OK
3	363A00000X	Physician Assistant	1536	OK

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
2	621705485	OTHER	AR	PRIVATE INSURES

General Provider Information

NPI Number	:	1366434680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERNARD MICHAEL TOUGAS JR. D.C, P.A.-C

Provider Business Mailing Address
First Line	:	PO BOX 5437
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72913-5437
Country	:	US
Telephone Number	:	918-503-5235
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 E RAY FINE BLVD
Second Line	:
City	:	ROLAND
State	:	OK
Zip	:	74954-5181
Country	:	US
Telephone Number	:	918-503-6235
Fax Number	:

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	03/06/2024

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Directions to “ BERNARD MICHAEL TOUGAS JR. D.C, P.A.-C” Practice Location

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