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Individual
MR. TREVOR JERROD FUGATE
Active
Individual
MR. TREVOR JERROD FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
885559
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
1084498
TX
Other
Enumeration date
04/25/2022
Last updated
02/09/2023
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