Individual
DR. NEAL EDWARD HOGANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1110 EARL RUDDER FWY S, COLLEGE STATION, TX 77840-2626
(979) 691-3295
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
J9096
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81X057
BLUE SHIELD
TX
Enumeration date
03/23/2006
Last updated
01/24/2022
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