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Organization
GRADY C. HOGUE, JR., M.D., P.A.
Active
Organization
GRADY C. HOGUE, JR., M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRADY C HOGUE JR. M.D., P.A. (OWNER)
(361) 358-9912
Entity
Organization
Contact information
Practice address
302 S HILLSIDE DR, BEEVILLE, TX 78102-5333
(361) 358-9912
(361) 358-7640
Mailing address
302 S HILLSIDE DR, BEEVILLE, TX 78102-5333
(361) 358-9912
(361) 358-7640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G8181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136310303
—
TX
Enumeration date
03/23/2009
Last updated
03/23/2009
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