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Individual
WAYNE HOGARD
Active
Individual
WAYNE HOGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
248975
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP100989
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1347874-09
—
TX
01
—
84450U
BLUE SHIELD
TX
01
—
P00250650
RR/MEDICARE
TX
Enumeration date
04/04/2006
Last updated
01/24/2022
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