Provider Demographics
NPI:1467561191
Name:HUGHES, PHILIP S H (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:S H
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10007 HUEBNER RD
Mailing Address - Street 2:STE 302
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1646
Mailing Address - Country:US
Mailing Address - Phone:210-614-7411
Mailing Address - Fax:210-614-6627
Practice Address - Street 1:10007 HUEBNER RD
Practice Address - Street 2:STE 302
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1646
Practice Address - Country:US
Practice Address - Phone:210-614-7411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE0499207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C17203Medicare UPIN