Provider Demographics
NPI:1578633038
Name:HOGUE, DAVID CARSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CARSON
Last Name:HOGUE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4927 FM 2920 RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3115
Mailing Address - Country:US
Mailing Address - Phone:281-350-0797
Mailing Address - Fax:281-350-0798
Practice Address - Street 1:4927 FM 2920 RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3115
Practice Address - Country:US
Practice Address - Phone:281-350-0797
Practice Address - Fax:281-350-0798
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX145191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice