Provider Demographics
NPI:1861529638
Name:HUGHES, MYRA K (MD)
Entity type:Individual
Prefix:
First Name:MYRA
Middle Name:K
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:189 BROWN SWISS DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MO
Mailing Address - Zip Code:65610-8493
Mailing Address - Country:US
Mailing Address - Phone:417-695-2022
Mailing Address - Fax:
Practice Address - Street 1:189 BROWN SWISS DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MO
Practice Address - Zip Code:65610-8493
Practice Address - Country:US
Practice Address - Phone:417-695-2022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-1718207V00000X
MOR6N89207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5K880Medicare ID - Type Unspecified
F57966Medicare UPIN