=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497972913
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOHN IBRAHIM DOGAN M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/19/2007
-----------------------------------------------------
Last Update Date | 08/17/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13221 DOTSON RD
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77070-4303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-477-9333
-----------------------------------------------------
Fax | 281-477-9341
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13221 DOTSON RD
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77070-4303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-477-9333
-----------------------------------------------------
Fax | 281-477-9341
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | M8633
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------