Provider Demographics
NPI:1720053861
Name:HUGHES, PATRICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 N BIG SPRING ST
Mailing Address - Street 2:SUITE 620
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-3354
Mailing Address - Country:US
Mailing Address - Phone:432-570-1421
Mailing Address - Fax:432-570-1427
Practice Address - Street 1:2200 W ILLINOIS AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6407
Practice Address - Country:US
Practice Address - Phone:432-570-1421
Practice Address - Fax:432-570-1427
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ82772085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX132331304Medicaid
TX81720ROtherDIA BCBSTX PROV#
TX81758ROtherSWMI BCBSTX PROV#
TX1720053861OtherNPI
TX132331308OtherDIA CHCSN PROV#
TX1720053861OtherNPI
TX132331308OtherDIA CHCSN PROV#
TX300054791Medicare PIN
TX132331304Medicaid
TXD93315Medicare UPIN