Provider Demographics
NPI:1598701344
Name:DUGI, DANIEL D JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:D
Last Name:DUGI
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2500 N ESPLANADE ST
Mailing Address - Street 2:STE 102
Mailing Address - City:CUERO
Mailing Address - State:TX
Mailing Address - Zip Code:77954-4723
Mailing Address - Country:US
Mailing Address - Phone:361-275-2381
Mailing Address - Fax:361-275-2431
Practice Address - Street 1:2500 N ESPLANADE ST
Practice Address - Street 2:STE 102
Practice Address - City:CUERO
Practice Address - State:TX
Practice Address - Zip Code:77954-4723
Practice Address - Country:US
Practice Address - Phone:361-275-2381
Practice Address - Fax:361-275-2431
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2022-08-18
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Provider Licenses
StateLicense IDTaxonomies
TXF6592207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126308906Medicaid
TX126308909Medicaid
TX373178YK7YMedicare PIN
TX126308909Medicaid