Individual
KATHLEEN M. MCHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
502 S OLD ORCHARD LN STE 126, LEWISVILLE, TX 75067-4374
(469) 322-3665
(972) 353-5780
Mailing address
3500 GASTON AVE, 4 ROBERTS, DALLAS, TX 75246-7701
(214) 820-3000
(214) 820-3022
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
447480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041502802
—
TX
05
—
060370604
—
TX
Enumeration date
07/19/2005
Last updated
12/14/2021
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