Individual
JACQUELINE GOODMAN MCHUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
13207 WRIGHT RD, BUDA, TX 78610-5000
(512) 697-8600
Mailing address
4201 S CONGRESS AVE, AUSTIN, TX 78745-1198
(512) 697-8600
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
304413
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74-1609108
REHAB FACILITY
TX
Enumeration date
05/10/2019
Last updated
05/10/2019
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