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Individual

DR. JACQUELINE ANN PUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7863 CALLAGHAN RD, SUITE 206, SAN ANTONIO, TX 78229-2453
(832) 237-3500
(832) 237-0200
Mailing address
11321 FALLBROOK DR, HOUSTON, TX 77065-4232
(832) 237-3500
(832) 237-0200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
F9981
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
F9981
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044130502
TX
Enumeration date
09/12/2006
Last updated
03/30/2009
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