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Individual

DR. PATRICK JEREMIAH HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6624 FANNIN ST, SUITE 2220, HOUSTON, TX 77030-2334
(713) 791-9400
(713) 795-5651
Mailing address
6624 FANNIN ST, SUITE 2220, HOUSTON, TX 77030-2334
(713) 791-9400
(713) 795-5651

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E1615
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1199915
LA
05
129293002
TX
05
204880108
MO
01
874221
BLUE CROSS BLUE SHIELD
TX
05
900741500
FL
Enumeration date
05/22/2006
Last updated
06/18/2010
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