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Individual
DR. GRADY C HOGUE JR.
Active
Individual
DR. GRADY C HOGUE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G8181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136310310
—
TX
05
—
136310314
—
TX
01
—
8HG239
BCBS
—
01
—
AETNA
INDIVIDUAL ID NUMBER
TX
Enumeration date
05/26/2006
Last updated
10/26/2017
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