Individual
GUY R FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4825 PONT NEUF RD, EDMOND, OK 73034-9282
(210) 326-6654
Mailing address
4825 PONT NEUF RD, EDMOND, OK 73034-9282
(210) 326-6654
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J5322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB143677
MEDICARE PTAN
TX
Enumeration date
06/14/2006
Last updated
04/20/2026
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