Individual
PATRICK GROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 BERGQUIST DR STE 1, LACKLAND A F B, TX 78236-9908
(210) 292-4106
(210) 292-6953
Mailing address
2200 BERGQUIST DR STE 1, LACKLAND A F B, TX 78236-9908
(210) 292-4106
(210) 292-6953
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
L9712
TX
Other
Enumeration date
07/18/2006
Last updated
07/21/2022
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