Provider Demographics
NPI:1154445815
Name:ISAAC Z PUGACH MD PLLC
Entity Type:Organization
Organization Name:ISAAC Z PUGACH MD PLLC
Other - Org Name:COMPLETE MED CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:Z
Authorized Official - Last Name:PUGACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-792-7777
Mailing Address - Street 1:660 N CENTRAL EXPY STE 640
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-6856
Mailing Address - Country:US
Mailing Address - Phone:972-792-7777
Mailing Address - Fax:469-969-0090
Practice Address - Street 1:660 N CENTRAL EXPY STE 640
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-6856
Practice Address - Country:US
Practice Address - Phone:972-792-7777
Practice Address - Fax:469-969-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty