Individual
SAMANTHA BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2240 GULF FWY S STE 2.100, LEAGUE CITY, TX 77573-5143
(832) 505-1800
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP133525
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP133525
TX
Other
Enumeration date
03/07/2017
Last updated
03/27/2024
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