Individual
DR. HOUSTON BOGUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 CLARA BARTON BLVD, SUITE 300, GARLAND, TX 75042-5738
(972) 494-6235
(972) 272-2073
Mailing address
601 CLARA BARTON BLVD, SUITE 300, GARLAND, TX 75042-5738
(972) 494-6235
(972) 272-2073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H8585
TX
207RG0100X
Gastroenterology Physician
Primary
H8585
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100014455
RR MEDICARE
TX
05
—
1026338-04
—
TX
05
—
102633802
—
TX
Enumeration date
06/20/2006
Last updated
08/06/2024
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