Gary A. Ogin, Md, PA

NPI #1265714836 in Southlake, Texas

Provider Information

NPI Number: 1265714836
Entity Type: Organization
Organization Name: Gary A. Ogin, Md, PA
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Sep 9, 2011
Last Updated: Sep 9, 2011

Practice Location

Address: 700 E SOUTHLAKE BLVD
Address 2: STE. 130
City: Southlake
State: Texas
ZIP Code: 76092-6353
Phone: (817) 421-9111

Authorized Official

Name: MS. TINA DAVIDOVICH
Title: ADMINISTRATOR
Phone: (214) 232-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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