MEDICARE: JAMES AUSTIN HOGAN D.C.

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	111N00000X	Chiropractor	12827	TX

General Provider Information

NPI Number	:	1508217910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES AUSTIN HOGAN D.C.

Provider Business Mailing Address
First Line	:	2305 WORTHINGTON ST APT 125
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-2747
Country	:	US
Telephone Number	:	469-371-4052
Fax Number	:

Provider Business Practice Location Address
First Line	:	4331 BELMONT AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-3033
Country	:	US
Telephone Number	:	214-431-5285
Fax Number	:

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

Provider Enumeration Date	:	06/27/2016
Last Update Date	:	10/01/2024

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