Individual
MR. KEVIN JOHN MCHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
13846
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
812010
TX
367500000X
Certified Registered Nurse Anesthetist
C01485
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157662001
—
AR
05
—
200395480A
—
OK
05
—
284718801
—
TX
05
—
284718802
—
TX
01
—
8867UG
BCBS TX
TX
01
—
8929UB
BCBS
TX
01
—
P00983541
RR MEDICARE
TX
Enumeration date
04/25/2006
Last updated
11/02/2015
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