MEDICARE: DR. PATRICK JEREMIAH HOGAN M.D.

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	207RC0000X	Cardiovascular Disease Physician	E1615	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	874221	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1558315598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK JEREMIAH HOGAN M.D.

Provider Business Mailing Address
First Line	:	6624 FANNIN ST
Second Line	:	SUITE 2220
City	:	HOUSTON
State	:	TX
Zip	:	77030-2334
Country	:	US
Telephone Number	:	713-791-9400
Fax Number	:	713-795-5651

Provider Business Practice Location Address
First Line	:	6624 FANNIN ST
Second Line	:	SUITE 2220
City	:	HOUSTON
State	:	TX
Zip	:	77030-2334
Country	:	US
Telephone Number	:	713-791-9400
Fax Number	:	713-795-5651

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

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	06/18/2010

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Directions to “ DR. PATRICK JEREMIAH HOGAN M.D.” Practice Location

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