Individual
WENDELL A GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22999 HIGHWAY 59 N STE 416, KINGWOOD, TX 77339-4412
(281) 359-5981
(281) 359-3591
Mailing address
PO BOX 9547, BELFAST, ME 04915-9547
(281) 359-5981
(281) 359-3591
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
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