Provider Demographics
NPI:1023210473
Name:BARROGA, DESI ELPIDIO (MD)
Entity type:Individual
Prefix:
First Name:DESI
Middle Name:ELPIDIO
Last Name:BARROGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:91-1666 AUWAHA ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-1814
Mailing Address - Country:US
Mailing Address - Phone:818-220-5589
Mailing Address - Fax:
Practice Address - Street 1:7515 GREENVILLE AVE STE 700
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3822
Practice Address - Country:US
Practice Address - Phone:214-369-7881
Practice Address - Fax:214-369-7882
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM50422081P2900X
CAA972562085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine