Provider Demographics
NPI:1851012827
Name:ROBERT HOGG DO PLLC
Entity Type:Organization
Organization Name:ROBERT HOGG DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER/PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HOGG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-370-4461
Mailing Address - Street 1:6528 E 101ST ST
Mailing Address - Street 2:D1 #223
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133
Mailing Address - Country:US
Mailing Address - Phone:918-370-4461
Mailing Address - Fax:918-512-4723
Practice Address - Street 1:512 W ATLANTA ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-7004
Practice Address - Country:US
Practice Address - Phone:918-370-4461
Practice Address - Fax:918-512-4723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty