Individual
JOHN GREGORY POGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 UNIVERSITY BLVD, TYLER, TX 75701-6623
(903) 266-2200
(903) 266-2398
Mailing address
901 TURTLE CREEK DR, TYLER, TX 75701-1947
(903) 596-3588
(903) 594-2038
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K9390
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260050530
MEDICARE RR
—
05
—
60863003
—
TX
Enumeration date
07/03/2006
Last updated
02/18/2010
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