Individual
WENDELL A GROGAN
Active
Individual
WENDELL A GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M0740
TX
2084N0600X
Clinical Neurophysiology Physician
M0740
TX
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
M0740
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026MH
BLUE CROSS BLUE SHIELD
TX
01
—
1590675
FIRST HEALTH
TX
05
—
172034401
—
TX
01
—
4462988
AETNA
TX
01
—
635873
MHHNP
TX
01
—
6700232
CIGNA
TX
Enumeration date
10/13/2006
Last updated
09/28/2015
Update your record
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