Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 17646 | TN |
NPI | 1013975978 |
---|---|
Provider Name | Thomas A Hughes |
First Address | Memphis, TN 38119-5213 |
Second Address | Memphis, TN 38119-5213 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 22/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3024890 | (05) | TN |
A98918 | (02) |