Provider Demographics
NPI:1033188776
Name:BARROGA, DENO B (MD)
Entity Type:Individual
Prefix:DR
First Name:DENO
Middle Name:B
Last Name:BARROGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DENO
Other - Middle Name:B
Other - Last Name:BARROGA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7515 GREENVILLE AVE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3831
Mailing Address - Country:US
Mailing Address - Phone:214-369-7881
Mailing Address - Fax:214-369-7882
Practice Address - Street 1:7515 GREENVILLE AVE
Practice Address - Street 2:STE 700
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3831
Practice Address - Country:US
Practice Address - Phone:214-369-7881
Practice Address - Fax:214-369-7882
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-15
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1495208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8S8080OtherBCBS
TX175167901Medicaid
TX175167901Medicaid
TX8F0531Medicare PIN