Individual
DOUGLAS GLENN COGDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(817) 347-9601
(817) 347-9602
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L0094
TX
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
L0094
TX
208M00000X
Hospitalist Physician
L0094
TX
Other
Enumeration date
02/10/2006
Last updated
04/30/2026
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