Provider Demographics
NPI:1902020811
Name:OGIN, GARY ARTHUR (MD)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:ARTHUR
Last Name:OGIN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:301 W ROUND GROVE RD
Mailing Address - Street 2:104
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-8106
Mailing Address - Country:US
Mailing Address - Phone:972-956-0888
Mailing Address - Fax:972-956-0999
Practice Address - Street 1:301 W ROUND GROVE RD
Practice Address - Street 2:104
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-8106
Practice Address - Country:US
Practice Address - Phone:972-956-0888
Practice Address - Fax:972-956-0999
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG9176208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG9176OtherSTATE LICENSE