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NPI Code Detail

MEDICARE: JANA HOGG MULLIGAN P.T.

MEDICARE: JANA HOGG MULLIGAN P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1032662TX

General Provider Information

NPI Number : 1114103165
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANA HOGG MULLIGAN P.T.
Provider Business Mailing Address
First Line : 1901 PINTAIL PKWY
Second Line :
City : EULESS
State : TX
Zip : 76039-2183
Country : US
Telephone Number : 817-233-4764
Fax Number : 817-684-7201
Provider Business Practice Location Address
First Line : 5060 DAVIS BLVD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-7004
Country : US
Telephone Number : 817-498-8585
Fax Number : 817-498-8582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2008
Last Update Date : 01/20/2008

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Directions to “ JANA HOGG MULLIGAN P.T.” Practice Location

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