Individual
DR. FAWN S HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR BLDG 3600, FORT SAM HOUSTON, TX 78234
(210) 916-3216
(210) 916-3758
Mailing address
40 GALLERIA DR, SAN ANTONIO, TX 78257-1712
(210) 378-0974
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101236982
VA
208600000X
Surgery Physician
0101236982
VA
Other
Enumeration date
05/14/2007
Last updated
06/17/2019
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