Individual
HETTY KATHLEEN BOGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1331 BANDERA HWY, SUITE 2, KERRVILLE, TX 78028-9515
(830) 895-7755
(830) 895-7757
Mailing address
1331 BANDERA HWY, SUITE 2, KERRVILLE, TX 78028-9515
(830) 895-7755
(830) 895-7757
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
747538
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197766201
—
TX
Enumeration date
06/19/2008
Last updated
10/28/2011
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