Individual
GREG N HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4825 50TH ST, LUBBOCK, TX 79414-3428
(806) 797-1173
(806) 793-2807
Mailing address
4825 50TH ST, LUBBOCK, TX 79414-3428
(806) 797-1173
(806) 793-2807
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T3884TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093093502
—
TX
Enumeration date
12/13/2006
Last updated
09/15/2010
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