Casey Williams Hogan, APRN
Nurse Practitioner in San Antonio, TX. Individual provider (NPI-1).
NPI number1467115014
StatusActive
Last updated in NPPESNov 2, 2021
Details
- NPI
- 1467115014
- Entity type
- Individual (NPI-1)
- Name
- Casey Williams Hogan
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2021
- Certification date
- Nov 1, 2021
- Last updated
- Nov 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1057295 | TX | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | 1057295 | TX |
Practice location
4330 Medical Dr Ste 325San Antonio, TX 78229-3389
Phone 210-615-7700 · Fax 210-615-1782
Mailing address
4330 Medical Dr Ste 325San Antonio, TX 78229-3389
Phone 210-615-7700 · Fax 210-615-1782
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