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1861988289
KODY SCRUGGS
PORT ARTHUR, TX
NPI
1861988289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP137947)
Enumeration Date
2018-07-09
Last Update Date
2018-07-09
Business Address
KODY SCRUGGS
8035 MEMORIAL BLVD STE B
PORT ARTHUR, TX 77640-7002
Phone number: 409-344-9307
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Mailing Address
KODY SCRUGGS
2900 BERNHARDT DR
PORT ARTHUR, TX 77642-1956
Phone number: 409-962-7835
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