Individual
CHAD A HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1280 S MAIN ST STE 100, GRAPEVINE, TX 76051-7509
(817) 310-0898
(817) 310-5524
Mailing address
1280 S MAIN ST STE 100, GRAPEVINE, TX 76051-7509
(817) 310-0898
(817) 310-5524
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L0268
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092519003
—
TX
Enumeration date
05/04/2006
Last updated
08/28/2009
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