Organization
W CHUCK BROGAN III MD PHD PA
Active
Other names
Brogan Heart Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOE X KENADY (ADMINISTRATOR)
(806) 788-1377
Entity
Organization
Contact information
Practice address
7008 INDIANA AVENUE, SUITE A, LUBBOCK, TX 79413
(806) 788-1377
(806) 281-1567
Mailing address
7008 INDIANA AVENUE, SUITE A, LUBBOCK, TX 79413
(806) 788-1377
(806) 281-1567
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H9305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079856301
—
TX
Enumeration date
12/05/2006
Last updated
12/16/2008
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