Provider Demographics
NPI:1699064097
Name:HUGHES-KAPENZI, TUERE (MD, MBA)
Entity type:Individual
Prefix:
First Name:TUERE
Middle Name:
Last Name:HUGHES-KAPENZI
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
Other - First Name:TUERE
Other - Middle Name:
Other - Last Name:HIGHTOWER-HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MBA
Mailing Address - Street 1:12070 OLD LINE CTR STE 212
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-2567
Mailing Address - Country:US
Mailing Address - Phone:301-710-0455
Mailing Address - Fax:301-710-9406
Practice Address - Street 1:12070 OLD LINE CTR STE 212
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2567
Practice Address - Country:US
Practice Address - Phone:301-710-0455
Practice Address - Fax:301-710-9406
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD77866208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics