Provider Demographics
NPI:1841396116
Name:NUGENT, ELIZABETH KATHLEEN (MD)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:KATHLEEN
Last Name:NUGENT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6400 FANNIN, SUITE 2900
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-486-1170
Mailing Address - Fax:713-500-0508
Practice Address - Street 1:6400 FANNIN, SUITE 2900
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-486-1170
Practice Address - Fax:713-500-0508
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2006015811207V00000X
TXN4630207VH0002X, 207VX0201X
OK27536207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative Medicine