Individual
ANGELA BROOKE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4412
Mailing address
1000 HOUSTON ST STE 200, FT WORTH, TX 76102-6415
(817) 336-0551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11339
TX
Other
Enumeration date
07/06/2017
Last updated
11/21/2019
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