B O G Advanced Family Medical Management INC

NPI #1326650128 in Cypress, Texas

Provider Information

NPI Number: 1326650128
Entity Type: Organization
Organization Name: B O G Advanced Family Medical Management INC
Primary Specialty: Nurse Practitioner - Family
Enumeration Date: Aug 21, 2020
Last Updated: Aug 21, 2020

Practice Location

Address: 20127 IVORY VALLEY LN
City: Cypress
State: Texas
ZIP Code: 77433-0030
Phone: (832) 812-9598

Authorized Official

Name: BARBARA YADIRA ORTIZ-GONZALEZ, FNP
Title: PRESIDENT
Phone: (832) 812-9598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X	Primary

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