Individual
DR. LEO DENNIS O'GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
432 E MULBERRY ST, ANGLETON, TX 77515-4736
(979) 864-1484
(979) 864-1456
Mailing address
432 E MULBERRY ST, ANGLETON, TX 77515-4736
(979) 864-1484
(979) 864-1456
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
C9094
TX
2085R0202X
Diagnostic Radiology Physician
C9094
TX
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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