Individual
DANIELLE MASON HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
409 W WALL ST, GRAPEVINE, TX 76051-5203
(817) 584-5599
Mailing address
307 MCKENZIE DR, TROPHY CLUB, TX 76262-5113
(817) 584-5599
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
03/24/2014
Last updated
07/29/2014
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