Provider Demographics
NPI:1124330576
Name:CHARLES V.O. HUGHES, M.D. P.A.
Entity type:Organization
Organization Name:CHARLES V.O. HUGHES, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:VO
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:806-894-7900
Mailing Address - Street 1:1804 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:LEVELLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79336-6507
Mailing Address - Country:US
Mailing Address - Phone:806-894-3141
Mailing Address - Fax:806-894-7094
Practice Address - Street 1:116 JOHN DUPRE DR
Practice Address - Street 2:STE A
Practice Address - City:LEVELLAND
Practice Address - State:TX
Practice Address - Zip Code:79336-6300
Practice Address - Country:US
Practice Address - Phone:806-894-7900
Practice Address - Fax:806-894-7631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2997207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty