MEDICARE: DR. DENO B BARROGA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	M1495	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8S8080	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033188776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENO B BARROGA MD

Provider Business Mailing Address
First Line	:	7515 GREENVILLE AVE
Second Line	:	SUITE 700
City	:	DALLAS
State	:	TX
Zip	:	75231-3831
Country	:	US
Telephone Number	:	214-369-7881
Fax Number	:	214-369-7882

Provider Business Practice Location Address
First Line	:	7515 GREENVILLE AVE
Second Line	:	STE 700
City	:	DALLAS
State	:	TX
Zip	:	75231-3831
Country	:	US
Telephone Number	:	214-369-7881
Fax Number	:	214-369-7882

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	12/08/2011

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Directions to “ DR. DENO B BARROGA MD” Practice Location

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