Provider Demographics
NPI:1659353837
Name:OGIER, CARY (PNP)
Entity Type:Individual
Prefix:
First Name:CARY
Middle Name:
Last Name:OGIER
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 ROBERTSON RD
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-3443
Mailing Address - Country:US
Mailing Address - Phone:817-966-1150
Mailing Address - Fax:
Practice Address - Street 1:4000 JUNIUS ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1622
Practice Address - Country:US
Practice Address - Phone:214-827-7081
Practice Address - Fax:214-827-1507
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX228474363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics