Individual
WALTER C BROGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4802 N LOOP 289, LUBBOCK, TX 79416-3025
(806) 788-0040
(806) 788-0015
Mailing address
4802 N LOOP 289, LUBBOCK, TX 79416-3025
(806) 788-0040
(806) 788-0015
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H9305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134958107
—
TX
Enumeration date
11/14/2006
Last updated
09/08/2017
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