MEDICARE: CYNTHIA L SHUGHRUE DO

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	207Q00000X	Family Medicine Physician	H4700	TX

General Provider Information

NPI Number	:	1619941366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA L SHUGHRUE DO

Provider Business Mailing Address
First Line	:	8440 WALNUT HILL LN STE 300
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-3816
Country	:	US
Telephone Number	:	214-363-5660
Fax Number	:	214-373-7030

Provider Business Practice Location Address
First Line	:	8440 WALNUT HILL LN STE 300
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-3816
Country	:	US
Telephone Number	:	214-363-5660
Fax Number	:	214-737-3703

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

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	10/20/2023

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Directions to “ CYNTHIA L SHUGHRUE DO” Practice Location

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