Individual
GAYLE A PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35607 HWY 96 SOUTH, BUNA, TX 77612
(409) 994-9323
(409) 994-9290
Mailing address
PO BOX 2279, BUNA, TX 77612
(409) 994-9323
(409) 994-9290
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153391101
—
TX
Enumeration date
07/01/2006
Last updated
10/20/2008
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