Healthcare Provider Details

I. General information

NPI: 1427242643
Provider Name (Legal Business Name): JAMES D OGDEN DPM & TERESA BARRIOS-OGDEN, DPM, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 11/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12042 BLANCO RD SUITE 310
SAN ANTONIO TX
78216-5440
US

IV. Provider business mailing address

12042 BLANCO RD SUITE 310
SAN ANTONIO TX
78216-5440
US

V. Phone/Fax

Practice location:
  • Phone: 210-341-4183
  • Fax: 210-341-3831
Mailing address:
  • Phone: 210-341-4183
  • Fax: 210-341-3831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number0925P
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number0910P
License Number StateTX

VIII. Authorized Official

Name: DR. JAMES D. OGDEN
Title or Position: OWNER
Credential: DPM
Phone: 210-921-0167