Individual
DAVID NORMAN FOGG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-0576
Mailing address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-0576
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
BP10085363
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10085363
TX
Other
Enumeration date
04/03/2023
Last updated
06/21/2023
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