Provider Demographics
NPI:1952579856
Name:DENNIS F. HUGHES, M.D.
Entity Type:Organization
Organization Name:DENNIS F. HUGHES, M.D.
Other - Org Name:DENNIS F. HUGHES, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:SPURGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-255-0633
Mailing Address - Street 1:2120 W. ELK
Mailing Address - Street 2:STE. 3
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-1576
Mailing Address - Country:US
Mailing Address - Phone:580-255-0633
Mailing Address - Fax:
Practice Address - Street 1:2120 W. ELK
Practice Address - Street 2:STE. 3
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-1576
Practice Address - Country:US
Practice Address - Phone:580-255-0633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18174207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200010910BMedicaid
OK110064807Medicare PIN
OK200010910BMedicaid
OK238233901Medicare PIN