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NPI Code Detail

MEDICARE: ASHLEY HOGAN

MEDICARE: ASHLEY HOGAN
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
1363LF0000XFamily Nurse PractitionerAP139520TX

General Provider Information

NPI Number : 1871051680
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY HOGAN
Provider Business Mailing Address
First Line : 3602 MATLOCK RD STE 206
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-3600
Country : US
Telephone Number : 210-777-1902
Fax Number :
Provider Business Practice Location Address
First Line : 1350 N WESTMORELAND RD
Second Line :
City : DALLAS
State : TX
Zip : 75211-1654
Country : US
Telephone Number : 214-743-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2019
Last Update Date : 12/08/2025

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Directions to “ ASHLEY HOGAN ” Practice Location

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