Individual
MELISSA L HOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(325) 658-1511
(325) 659-0180
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
728963
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP119486
LICENSE
TX
Enumeration date
09/16/2010
Last updated
03/23/2015
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