Individual
GLEN R HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13110 KUYKENDAHL RD APT 703, HOUSTON, TX 77090-6708
(281) 914-1057
Mailing address
13110 KUYKENDAHL RD APT 703, HOUSTON, TX 77090-6708
(281) 914-1057
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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