Fugate, Trevor Jerrod

Fugate, Trevor Jerrod is an individual health care provider with primary practice located at 602 Indiana Ave , Lubbock TX 79415-3364. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is his primary health care specialty. Fugate, Trevor Jerrod can be contacted via phone (806) 775-8200.

Contact Information

Primary practice address
602 Indiana Ave Lubbock TX 79415-3364
Phone: (806) 775-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 885559 Texas
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 1084498 Texas

Profile Details

NPI number 1972247195
LBN Legal business name Fugate, Trevor Jerrod
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2022
Last updated Feb 9th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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