MEDICARE: DR. TRACY HUGHES M.D.

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	2084P0800X	Psychiatry Physician	F1667	TX

General Provider Information

NPI Number	:	1639489602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRACY HUGHES M.D.

Provider Business Mailing Address
First Line	:	1723 PARK PL
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-3343
Country	:	US
Telephone Number	:	903-813-1605
Fax Number	:	903-813-1605

Provider Business Practice Location Address
First Line	:	1723 PARK PL
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-3343
Country	:	US
Telephone Number	:	903-813-1605
Fax Number	:	903-813-1605

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

Provider Enumeration Date	:	10/08/2010
Last Update Date	:	10/08/2010

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