Provider Demographics
NPI:1174663827
Name:HUGHES, RONALD C (PHD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:C
Last Name:HUGHES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:RON
Other - Middle Name:
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:24 ROYAL OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:HICKORY CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:75065-2930
Mailing Address - Country:US
Mailing Address - Phone:972-436-2250
Mailing Address - Fax:
Practice Address - Street 1:725 W PURNELL RD
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4555
Practice Address - Country:US
Practice Address - Phone:972-436-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21730103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00HF92Medicare ID - Type Unspecified