Organization
MARK D. BOGAR, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MORGAN B KRULL MSHP-HA (MEDICAL OFFICE MANAGEMENT)
(512) 363-5779
Entity
Organization
Contact information
Practice address
4321 BROWNFIELD RD, LUBBOCK, TX 79407-2504
(512) 363-5779
(512) 292-4458
Mailing address
4321 BROWNFIELD RD, LUBBOCK, TX 79407-2504
(512) 363-5779
(512) 292-4458
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L3246
TX
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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