Healthcare Provider Details

I. General information

NPI: 1497751846
Provider Name (Legal Business Name): JAMES D OGDEN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 03/11/2021
Certification Date: 03/11/2021
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 TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number0910P
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: