Individual
DR. JAMES R OGBURN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
134 ROSEDALE DR, ATHENS, TX 75751-3625
(903) 675-0080
(903) 675-0081
Mailing address
134 ROSEDALE DR, ATHENS, TX 75751-3625
(903) 675-0080
(903) 675-0081
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
J2242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y143
MEDICARE GROUP PTAN
TX
01
—
1154445419
GROUP NPI NUMBER
TX
01
—
8AG580
BCBS
TX
01
—
8F6130
MEDICARE INDIVIDUAL PTAN
TX
01
—
CL8659
MEDICARE CLINICALLAB PTAN
TX
Enumeration date
01/18/2006
Last updated
03/09/2026
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