Cogdill, Douglas Glenn

Cogdill, Douglas Glenn is an individual health care provider with primary practice located at 201 Walls Dr , Cleburne TX 76033-4007. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Cogdill, Douglas Glenn can be contacted via phone (817) 641-2551.

Contact Information

Primary practice address
201 Walls Dr Cleburne TX 76033-4007
Phone: (817) 641-2551
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X L0094 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L0094 Texas

Profile Details

NPI number 1023081833
LBN Legal business name Cogdill, Douglas Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Apr 9th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023081833 NPPES
Texas Other 7221151 AETNA
Texas Other 752616977004 AETNA
Texas Other 89181G AETNA
Texas MEDICAID 089999902 AETNA
Texas Other CO089181G AETNA
Texas Other 123900 AETNA

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