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Shane Bogard
NPI 1407886930 · on the registry since 2006 · sole proprietor
Practice
- Address
- 145 N Beaulah
Hawkins, TX 75765 - Phone
- (903) 769-5545
- Fax
- (903) 769-5945
- Organisation at this address
- Shane M Bogard
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas