Etho Pugh, LMT is a
Massage Therapist based in Forest Hill, Texas. Etho Pugh is licensed to practice in Texas (license number MT132803) and his current practice location is
6321 Scotsdale Dr, Forest Hill, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 637-7366.
NPI number for Etho Pugh is 1033783113 and his current mailing address is 6321 Scotsdale Dr, Forest Hill, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033783113.
Healthcare Provider's Profile
| Full Name | Etho Pugh |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 6321 Scotsdale Dr, Forest Hill, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033783113
- Provider Enumeration Date: 05/13/2021
- Last Update Date: 05/13/2021
Medical Identifiers
Medical identifiers for Etho Pugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033783113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT132803 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Etho Pugh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Etho Pugh, LMT
6321 Scotsdale Dr,
Forest Hill, TX 76119-7623
Ph: (817) 637-7366 | Etho Pugh, LMT
6321 Scotsdale Dr,
Forest Hill, TX 76119-7623
Ph: (817) 637-7366 |
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