Individual provider Active NPI

Terrelle Dugans, PHLEBOTOMY #M3A5R2Q6

  • Phlebotomy Technician
  • Corsicana, TX
National Provider Identifier
1275234544
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
M3A5R2Q6 Issued in TX
Practice address
1300 Northwood Blvd #14
Corsicana, TX 75110
Phone
(214) 434-7895
NPI assigned
Mar 14, 2023
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X M3A5R2Q6 TX Primary

Addresses

Primary practice location

1300 Northwood Blvd #14
Corsicana, TX 75110

Mailing address

1107 W 7TH Ave # 1012
Corsicana, TX 75110-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M3A5R2Q6TXMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
My Touch Mobile Services LLC Single Specialty CurrentSince May 7, 2023 Accepting new patients

Locations

1107 W 7th Ave
Corsicana, TX 75110
Phone (214) 434-7895

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1275234544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W 7TH AVE # 1012",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751106300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NORTHWOOD BLVD #14",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "75110",
            "telephone_number": "214-434-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGANS",
        "first_name": "TERRELLE",
        "credential": "PHLEBOTOMY #M3A5R2Q6",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TX",
            "license": "M3A5R2Q6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.