Individual
DR. ADRIAN C. MOGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(972) 596-6800
Mailing address
1820 PRESTON PARK BLVD, 1825, PLANO, TX 75093-3656
(972) 867-7862
(972) 612-1623
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101239154
VA
2085R0202X
Diagnostic Radiology Physician
Primary
M8847
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195493501
—
TX
05
—
195493502
—
TX
05
—
195493503
—
TX
01
—
8K6553
MEDICARE PTAN
TX
01
—
8K7783
MEDICARE PTAN
TX
01
—
TXB107478
MEDICARE PTAN
TX
Enumeration date
07/18/2006
Last updated
06/08/2016
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