JERRY L LUGGER MD PA NPI 1043576358

NPI Information

  • NPI: 1043576358
  • Provider Name: JERRY L LUGGER MD PA
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 461 WESTPARK WAY
    EULESS, TX
    ZIP 76040
  • Phone: (817) 540-1755

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NPI Details

JERRY L LUGGER MD PA is a health service clinic center in Euless, TX. JERRY L LUGGER MD PA NPI is 1043576358. The provider is registered as an organization entity type.

The provider's business location address is:

461 WESTPARK WAY
EULESS, TX
ZIP 76040-957
Phone: (817) 540-1755
Fax: (817) 685-7774

The provider's authorized official is Jerry Lee Lugger .
The authorized official title is President and has the following contact phone number (817) 540-1755.

The enumeration date for this NPI number is 4/11/2012 and was last updated on 5/10/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceG2762TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B24512MEDICARE UPINTEXAS

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: 11/21/2025

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