Doctor Name: | MR. JOHN ROBERT HUGHES |
NPI Number: | 1043324957 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NPC |
License Number: | APO4224 |
Business Practice Address: | 2495 Shreveport Highway Pineville, LA - 71301 |
Business Phone Number: | 3184730010 |
Business Fax Number: | 3184732501 |
Mailing Address: | 225 Golden Leaf Ln, PINEVILLE |
State: | LA |
Postal Code: | 713609764 |
Phone Number: | 3184662000 |
Fax Number: | 3184662000 |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APO4224 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |