Provider Demographics
NPI:1245209915
Name:DENO B BARROGA MD MPH AND ASSOCIATES
Entity Type:Organization
Organization Name:DENO B BARROGA MD MPH AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENO
Authorized Official - Middle Name:B
Authorized Official - Last Name:BARROGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-980-7131
Mailing Address - Street 1:PO BOX 678393
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-8393
Mailing Address - Country:US
Mailing Address - Phone:972-980-7131
Mailing Address - Fax:972-980-2453
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:972-980-7131
Practice Address - Fax:972-980-2453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175165301Medicaid
TX0001MWOtherBCBS
TX175165301Medicaid
TX00979ZMedicare PIN