Provider Type Icon

DR. THERESA JONES PUGH M.D. NPI 1962450205


NPI Information

NPI: 1962450205
Provider Name: DR. THERESA JONES PUGH, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1101 W 40TH ST
AUSTIN, TX
ZIP 78756
Phone: (512) 459-4147
Get Directions

DR. Theresa Jones Pugh, M.D. is a family medicine in Austin, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Theresa Jones Pugh, M.D. NPI is 1962450205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1101 W 40TH ST
AUSTIN, TX
ZIP 78756-609
Phone: (512) 459-4147
Fax: (512) 459-9134

The NPI 1962450205 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 2/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineL8901TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18P1160OTHERTEXASBCBS TEXAS
2L8901OTHERTEXASMEDICAL LICENSE
3I12199MEDICARE UPINTEXAS
4BP8573924OTHERTEXASDEA NUMBER
5742642860OTHERTEXASTIN
6R0134028OTHERTEXASDPS NUMBER
700J40TMEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE NUMBER
845D0505324OTHERTEXASCLIA NUMBER
98C1378MEDICARE ID-TYPE UNSPECIFIEDTEXASINDIVIDUAL PROVIDER NUMB

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.