=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245209915
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DENO B BARROGA MD MPH AND ASSOCIATES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/15/2006
-----------------------------------------------------
Last Update Date | 04/10/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7515 GREENVILLE AVE STE 700
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75231-3831
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-980-7131
-----------------------------------------------------
Fax | 972-980-2453
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 678393
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75267-8393
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-980-7131
-----------------------------------------------------
Fax | 972-980-2453
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. DENO B BARROGA
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 972-980-7131
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208100000X
-----------------------------------------------------
Taxonomy Name | Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------