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NPI Code Detail

MEDICARE: DR. LARRY C HUGHES D.O.

MEDICARE: DR. LARRY C 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
1207Q00000XFamily Medicine PhysicianJ1692TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
274287370001OTHERTXCHAMPUS
300U85NOTHERTXBLUE CROSS BLUE SHIELD OF
4742787370OTHERTXCOMMERCIAL CLAIMS

General Provider Information

NPI Number : 1619062734
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY C HUGHES D.O.
Provider Business Mailing Address
First Line : 701 MCCLINTIC DR
Second Line :
City : GROESBECK
State : TX
Zip : 76642-2128
Country : US
Telephone Number : 254-729-3411
Fax Number : 254-729-3258
Provider Business Practice Location Address
First Line : 701 MCCLINTIC DR
Second Line :
City : GROESBECK
State : TX
Zip : 76642-2128
Country : US
Telephone Number : 254-729-3411
Fax Number : 254-729-3258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 08/29/2014

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