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Individual

CHARLES W MCCLUGGAGE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12951 SOUTH FWY, HOUSTON, TX 77047-1923
(713) 526-5771
(713) 526-2036
Mailing address
30 MUIRFIELD WAY, DEPT 808, SUGAR LAND, TX 77479-2963
(281) 980-3577

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F7838
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136075203
TX
Enumeration date
10/27/2005
Last updated
03/23/2017
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