Individual
JEFF L PUGACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 8TH AVE FL 6, FORT WORTH, TX 76104-2515
(682) 303-0376
(682) 303-0377
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
L3077
TX
Other
Enumeration date
09/23/2005
Last updated
04/13/2021
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