Individual
MICHAEL RICHARD HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
8535 TOM SLICK, SAN ANTONIO, TX 78229-3367
(210) 582-6440
(210) 692-9021
Mailing address
8535 TOM SLICK, SAN ANTONIO, TX 78229-3367
(210) 582-6440
(210) 692-9021
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
948071
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1008200
TX
Other
Enumeration date
07/18/2019
Last updated
08/14/2020
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