Individual
MARK T OGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 DALLAS ST, EMERGENCY ROOM, SAN ANTONIO, TX 78205-1201
(210) 614-0180
(210) 615-7170
Mailing address
PO BOX 12740, WESTMINSTER, CA 92685-2740
(562) 468-0227
(562) 467-0865
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M4406
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
M4406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183200801
—
TX
05
—
183200802
—
TX
05
—
183200805
—
TX
01
—
8AB501
BCBS
TX
01
—
8W4062
BCBS
TX
Enumeration date
07/11/2006
Last updated
12/07/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us