| Grady C. Hogue, Jr., M.d., P.a. | |
|
302 S Hillside Dr Beeville TX 78102-5333 | |
| (361) 358-9912 | |
| (361) 358-7640 |
| Full Name | Grady C. Hogue, Jr., M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 302 S Hillside Dr, Beeville, Texas |
| Authorized Official Name and Position | Grady C Hogue (OWNER) |
| Authorized Official Contact | 3613589912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grady C. Hogue, Jr., M.d., P.a. 302 S Hillside Dr Beeville TX 78102-5333 Ph: (361) 358-9912 | Grady C. Hogue, Jr., M.d., P.a. 302 S Hillside Dr Beeville TX 78102-5333 Ph: (361) 358-9912 |
| NPI Number | 1700027695 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 03/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700027695 | NPI | - | NPPES |
| 136310303 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G8181 (Texas) | Primary |
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