Healthcare Provider Details

I. General information

NPI: 1730413444
Provider Name (Legal Business Name): MARGUERITE COLLETTE OGDEN AU.D., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2009
Last Update Date: 09/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11302 FALLBROOK DR STE. 206
HOUSTON TX
77065-4235
US

IV. Provider business mailing address

11302 FALLBROOK DR STE. 206
HOUSTON TX
77065-4235
US

V. Phone/Fax

Practice location:
  • Phone: 832-604-3636
  • Fax: 281-469-8932
Mailing address:
  • Phone: 832-604-3636
  • Fax: 281-469-8932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number80171
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberDA7519
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: