MEDICARE: DR. JOHN OGDEN 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	207R00000X	Internal Medicine Physician	64307	MN
2	207RH0003X	Hematology & Oncology Physician	T0118	TX

General Provider Information

NPI Number	:	1851823389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN OGDEN MD

Provider Business Mailing Address
First Line	:	PO BOX 911230
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-1230
Country	:	US
Telephone Number	:	972-997-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	18707 HARDY OAK BLVD STE 320
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4890
Country	:	US
Telephone Number	:	210-545-6972
Fax Number	:	210-545-1016

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

Provider Enumeration Date	:	04/03/2017
Last Update Date	:	08/15/2023

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Directions to “ DR. JOHN OGDEN MD” Practice Location

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