Organization
HOCHATOWN MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC HOGAN DO (OWNER)
(918) 689-2500
Entity
Organization
Contact information
Practice address
6613 N US HIGHWAY 259, BROKEN BOW, OK 74728-6591
(918) 689-2500
Mailing address
6966 S UTICA AVE STE 225, TULSA, OK 74136-3903
(918) 492-6333
(918) 493-9405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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