Provider Demographics
NPI:1750617882
Name:HUGHES, ANDY PAT (RN, BSN, CNOR, RNFA)
Entity type:Individual
Prefix:MR
First Name:ANDY
Middle Name:PAT
Last Name:HUGHES
Suffix:
Gender:M
Credentials:RN, BSN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6404 STOCKTON DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-5058
Mailing Address - Country:US
Mailing Address - Phone:817-370-8445
Mailing Address - Fax:
Practice Address - Street 1:6404 STOCKTON DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-5058
Practice Address - Country:US
Practice Address - Phone:817-370-8445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-24
Last Update Date:2009-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX716498163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant