Organization
JERRY L LUGGER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY LEE LUGGER M.D. (PRESIDENT)
(817) 540-1755
Entity
Organization
Contact information
Practice address
461 WESTPARK WAY, EULESS, TX 76040-3957
(817) 540-1755
(817) 685-7774
Mailing address
461 WESTPARK WAY, EULESS, TX 76040-3957
(817) 540-1755
(817) 685-7774
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
G2762
TX
Other
Enumeration date
04/11/2012
Last updated
05/10/2012
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