Organization
GREATER DALLAS ANESTHESIA & PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A. OGIN MD (DIRECTOR)
(972) 956-0888
Entity
Organization
Contact information
Practice address
301 W ROUND GROVE RD, SUITE 104, LEWISVILLE, TX 75067-8106
(972) 956-0888
(972) 956-0999
Mailing address
PO BOX 640, SANGER, TX 76266-0640
(972) 956-0888
(972) 956-0999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G9176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072MQ
BCBS
TX
Enumeration date
02/07/2007
Last updated
08/22/2020
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