Mark D. Bogar, MD, PA
Physical Medicine & Rehabilitation in Lubbock, TX. Organization (NPI-2).
NPI number1568662914
StatusActive
Last updated in NPPESJul 24, 2007
Details
- NPI
- 1568662914
- Entity type
- Organization (NPI-2)
- Legal business name
- Mark D. Bogar, MD, PA
- Organization subpart
- No
- Enumeration date
- Jul 24, 2007
- Last updated
- Jul 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | L3246 | TX | Yes |
Practice location
4321 Brownfield RdLubbock, TX 79407-2504
Phone 512-363-5779 · Fax 512-292-4458
Mailing address
4321 Brownfield RdLubbock, TX 79407-2504
Phone 512-363-5779 · Fax 512-292-4458
Authorized official
Morgan B Krull
Medical Office Management
5123635779
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