Individual
MR. ETHO TODD PUGH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1904 ROSELLE CT, ARLINGTON, TX 76018-2590
(682) 554-9996
Mailing address
1904 ROSELLE CT, ARLINGTON, TX 76018-2590
(682) 554-9996
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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