Douglas Glenn Cogdill, MD | |
201 Walls Dr, Cleburne, TX 76033-4007 | |
(817) 641-2551 | |
Not Available |
Full Name | Douglas Glenn Cogdill |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 201 Walls Dr, Cleburne, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023081833 | NPI | - | NPPES |
7221151 | Other | TX | AETNA |
752616977004 | Other | TX | TRICARE CHAMPUS |
89181G | Other | TX | BCBS OF TEXAS |
089999902 | Medicaid | TX | |
CO089181G | Other | TX | BCBS |
123900 | Other | TX | CHIPS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | L0094 (Texas) | Secondary |
208000000X | Pediatrics | L0094 (Texas) | Primary |
Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
Mailing Address | Practice Location Address |
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Douglas Glenn Cogdill, MD 6404 Springwood Cir, Texarkana, TX 75503-0572 Ph: (903) 733-0632 | Douglas Glenn Cogdill, MD 201 Walls Dr, Cleburne, TX 76033-4007 Ph: (817) 641-2551 |
Ayman Arouse, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 895 N Nolan River Rd Ste 101, Cleburne, TX 76033 Phone: 817-641-8800 Fax: 817-641-8803 | |
Dr. Ranbir K Sharma, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 215 Ridgeway Drive North, Cleburne, TX 76033 Phone: 817-774-2560 Fax: 817-774-2563 |