Individual
ROBERT E BOGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 RIVERWOOD CT, CONROE, TX 77305
(936) 521-6100
(936) 760-2898
Mailing address
PO BOX 3067, CONROE, TX 77305
(936) 521-6100
(936) 760-2898
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L3245
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F9464
BCBS OF TX
TX
Enumeration date
05/18/2006
Last updated
07/08/2007
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