Individual
CHARLES ANDREW HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2803 EARL RUDDER FWY S STE 103, COLLEGE STATION, TX 77845-6099
(979) 731-8888
(979) 731-8935
Mailing address
2803 EARL RUDDER FWY S STE 103, COLLEGE STATION, TX 77845-6099
(979) 731-8888
(979) 731-8935
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Q8906
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
Q8906
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28579
STATE MEDICAL LICENSE
OK
01
—
8XN356
BCBS PROVIDER ID
TX
01
—
Q8906
STATE MEDICAL LICENSE
TX
Enumeration date
06/07/2011
Last updated
04/09/2025
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