Healthcare Provider Details

I. General information

NPI: 1659353837
Provider Name (Legal Business Name): CARY OGIER PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 JUNIUS ST
DALLAS TX
75246-1622
US

IV. Provider business mailing address

901 ROBERTSON RD
GRAND PRAIRIE TX
75050-3443
US

V. Phone/Fax

Practice location:
  • Phone: 214-827-7081
  • Fax: 214-827-1507
Mailing address:
  • Phone: 817-966-1150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number228474
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: