Bogus, Houston
Bogus, Houston is an individual health care provider with primary practice located at 601 Clara Barton Blvd Suite 300, Garland TX 75042-5738. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Bogus, Houston can be contacted via phone (972) 494-6235.Contact Information
Primary practice address
601 Clara Barton Blvd Suite 300
Garland TX 75042-5738
Phone: (972) 494-6235
Fax: (972) 272-2073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | H8585 | Texas |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | H8585 | Texas |
Profile Details
| NPI number | 1669418679 |
|---|---|
| LBN Legal business name | Bogus, Houston |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Apr 1st, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669418679 | NPPES |
| Texas | MEDICAID | 1026338-04 | |
| Texas | MEDICAID | 102633802 | |
| Texas | Other | 100014455 |
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