MEDICARE: RYAN C 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	207L00000X	Anesthesiology Physician	P2493	TX
2	207L00000X	Anesthesiology Physician	47724	MN
3	207L00000X	Anesthesiology Physician	20361	MS
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	P2493	TX
5	208VP0014X	Interventional Pain Medicine Physician	P2493	TX

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

General Provider Information

NPI Number	:	1811976715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN C MCHUGH M.D.

Provider Business Mailing Address
First Line	:	538 BROADWAY
Second Line	:
City	:	WINNIE
State	:	TX
Zip	:	77665-7600
Country	:	US
Telephone Number	:	409-296-6000
Fax Number	:	409-396-6372

Provider Business Practice Location Address
First Line	:	2400 HIGHWAY 365 STE 208
Second Line	:
City	:	NEDERLAND
State	:	TX
Zip	:	77627-6250
Country	:	US
Telephone Number	:	409-724-7904
Fax Number	:	409-226-3374

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

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	08/07/2023

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Directions to “ RYAN C MCHUGH M.D.” Practice Location

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