| Robert Hogg Do Pllc | |
|
512 W Atlanta St Broken Arrow OK 74012-7004 | |
| (918) 370-4461 | |
| (918) 512-4723 |
| Full Name | Robert Hogg Do Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 512 W Atlanta St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Robert David Hogg (SOLE MEMBER/PSYCHIATRIST) |
| Authorized Official Contact | 9183704461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Hogg Do Pllc 6528 E 101st St D1 #223 Tulsa OK 74133 Ph: (918) 370-4461 | Robert Hogg Do Pllc 512 W Atlanta St Broken Arrow OK 74012-7004 Ph: (918) 370-4461 |
| NPI Number | 1851012827 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Medicare PECOS PAC ID | 7517342959 |
|---|---|
| Medicare Enrollment ID | O20220921000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851012827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert David Hogg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518406032 PECOS PAC ID: 8426433863 Enrollment ID: I20220921000412 |
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