| Dr James R Ogburn Jr, MD | |
|
134 Rosedale Dr, Athens, TX 75751-3625 | |
| (903) 675-0080 | |
| (903) 675-0081 |
| Full Name | Dr James R Ogburn Jr |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 35 Years |
| Location | 134 Rosedale Dr, Athens, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922088731 | NPI | - | NPPES |
| 8AG580 | Other | TX | BCBS |
| 00Y143 | Other | TX | MEDICARE GROUP PTAN |
| 1154445419 | Other | TX | GROUP NPI NUMBER |
| 8F6130 | Other | TX | MEDICARE INDIVIDUAL PTAN |
| CL8659 | Other | TX | MEDICARE CLINICALLAB PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | J2242 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ut Health East Texas Athens Hospital | Athens, TX | Hospital |
| Ut Health East Texas Jacksonville Hospital | Jacksonville, TX | Hospital |
| Ennis Regional Medical Center | Ennis, TX | Hospital |
| Freestone Medical Center | Fairfield, TX | Hospital |
| Coryell Memorial Healthcare System | Gatesville, TX | Hospital |
| Entity Name | Eastern Texas Pathology Laboratories, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154445419 PECOS PAC ID: 4486740032 Enrollment ID: O20071012000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James R Ogburn Jr, MD 134 Rosedale Dr, Athens, TX 75751-3625 Ph: (903) 675-0080 | Dr James R Ogburn Jr, MD 134 Rosedale Dr, Athens, TX 75751-3625 Ph: (903) 675-0080 |
Jacqueline Ann Torell, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 134 Rosedale, Athens, TX 75751 Phone: 903-675-0080 Fax: 903-675-0081 |