Individual
DR. MARK GROGAN TUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
409 W ADAMS AVE, TEMPLE, TX 76501-4211
(254) 742-3775
Mailing address
409 W ADAMS AVE, TEMPLE, TX 76501-4211
(254) 742-3775
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M8395
TX
Other
Enumeration date
01/20/2008
Last updated
11/23/2009
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