Individual
DR. MARK H. FUGIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
17110 NORTH DALLAS PARKWAY, SUITE 222, DALLAS, TX 75248-1915
(972) 267-2642
(972) 267-2586
Mailing address
17110 NORTH DALLAS PARKWAY, SUITE 222, DALLAS, TX 75248-1915
(972) 267-2642
(972) 267-2586
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
24462
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0352759
—
TX
Enumeration date
08/06/2006
Last updated
03/17/2010
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