Individual
DR. BRIAN MATTHEW GOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, C-585, DALLAS, TX 75230-2571
(972) 566-4880
(972) 566-6256
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K2156
TX
2086X0206X
Surgical Oncology Physician
K2156
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030086502
—
TX
05
—
030086503
—
TX
05
—
030086504
—
TX
01
—
P01170816
RAILROAD MEDICARE
TX
Enumeration date
05/02/2006
Last updated
07/26/2013
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