MEDICARE: DR. JENEVIEVE H 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	208600000X	Surgery Physician	31933	AZ
2	208600000X	Surgery Physician	M8721	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01294343	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	86080015085259A893	OTHER	AZ	TRIWEST

General Provider Information

NPI Number	:	1972588275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENEVIEVE H HUGHES M.D.

Provider Business Mailing Address
First Line	:	399 W CAMPBELL RD
Second Line	:	SUITE 206A
City	:	RICHARDSON
State	:	TX
Zip	:	75080-3595
Country	:	US
Telephone Number	:	972-498-4143
Fax Number	:	972-498-8228

Provider Business Practice Location Address
First Line	:	2805 E PRESIDENT GEORGE BUSH HWY
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-3561
Country	:	US
Telephone Number	:	469-204-6230
Fax Number	:	469-204-6239

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

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	05/21/2014

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Directions to “ DR. JENEVIEVE H HUGHES M.D.” Practice Location

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