Robert L. Hogue M.d. Pa | |
101 S Park Dr Ste A Brownwood TX 76801-5959 | |
(325) 646-6568 | |
(325) 646-9199 |
Full Name | Robert L. Hogue M.d. Pa |
---|---|
Speciality | Family Medicine |
Location | 101 S Park Dr Ste A, Brownwood, Texas |
Authorized Official Name and Position | Robert L Hogue (PRESIDENT) |
Authorized Official Contact | 3256466568 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Robert L. Hogue M.d. Pa 101 S Park Dr Ste A Brownwood TX 76801-5959 Ph: (325) 646-6568 | Robert L. Hogue M.d. Pa 101 S Park Dr Ste A Brownwood TX 76801-5959 Ph: (325) 646-6568 |
NPI Number | 1942504253 |
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Provider Enumeration Date | 12/29/2010 |
Last Update Date | 12/29/2010 |
Medicare PECOS PAC ID | 2668659392 |
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Medicare Enrollment ID | O20110607000359 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942504253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E6419 (Texas) | Primary |
Provider Name | Robert L Hogue |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093762924 PECOS PAC ID: 6800073289 Enrollment ID: I20110613000324 |
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