Hogan, Jamie M

Hogan, Jamie M is an individual health care provider with primary practice located at 605 S Conroe Medical Dr , Conroe TX 77304-4722. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hogan, Jamie M can be contacted via phone (936) 539-4004.

Contact Information

Primary practice address
605 S Conroe Medical Dr Conroe TX 77304-4722
Phone: (936) 539-4004
Fax: (936) 539-3635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05582 Texas

Profile Details

NPI number 1972780856
LBN Legal business name Hogan, Jamie M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2008
Last updated Mar 7th, 2023 - about last year

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 1972780856 NPPES
Texas MEDICAID 3281495-04

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