IndividualActive
Jeff Pugach, MD
NPI 1871589978 · Pediatric Urology Physician · Fort Worth, TX
Provider details
- NPI number
- 1871589978
- Entity type
- Individual
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- L3077 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
750 8th Ave Fl 6
Fort Worth, TX 76104-2515
Phone: (682) 303-0376
Fax: (682) 303-0377
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 733784
Dallas, TX 75373-3784
Registry dates
- Enumerated
- 2005-09-23
- Last updated
- 2021-04-13
- Certified
- 2021-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.