Provider Demographics
NPI:1174265631
Name:BAERGA-SCRUGGS, APRIL RENEE'
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:RENEE'
Last Name:BAERGA-SCRUGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 MARSH LN APT 816
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-4858
Mailing Address - Country:US
Mailing Address - Phone:469-839-1248
Mailing Address - Fax:
Practice Address - Street 1:2300 MARSH LN APT 816
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-4858
Practice Address - Country:US
Practice Address - Phone:469-839-1248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0623Medicaid