Individual
CALVIN OGDEN MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 658-1511
(325) 481-2166
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P8388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340228801
—
TX
01
—
8EE876
BCBS
TX
Enumeration date
05/14/2010
Last updated
04/10/2015
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