# HOGAN MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578082814
- **Authorized official:** ERIC HOGAN DO (OWNER)
- **Authorized official phone:** (918) 689-2500

## Contact information

- **Practice address:** 101 E TERRI DR, VALLIANT, OK 74764-6801
- **Practice address phone:** (918) 689-2500
- **Mailing address:** 6966 S UTICA AVE STE 225, TULSA, OK 74136-3903
- **Mailing address phone:** (918) 492-6333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2017
- **Last updated:** 09/19/2017