MEDICARE: DR. MARY CALLAHAN MCHUGH 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	207P00000X	Emergency Medicine Physician	125054110	IL
2	207P00000X	Emergency Medicine Physician	R0076	TX

General Provider Information

NPI Number	:	1760648448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY CALLAHAN MCHUGH M.D.

Provider Business Mailing Address
First Line	:	5323 HARRY HINES BLVD.
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-3916
Country	:	US
Telephone Number	:	214-648-3916
Fax Number	:	214-648-8423

Provider Business Practice Location Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-2930
Country	:	US
Telephone Number	:	214-648-3916
Fax Number	:	214-648-8423

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

Provider Enumeration Date	:	08/01/2008
Last Update Date	:	07/21/2022

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