Provider Demographics
NPI:1245014174
Name:HOGAN, WILLIAM DANIEL
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DANIEL
Last Name:HOGAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WILLIAM D. HOGAN
Mailing Address - Street 2:800 HORTON PREISS ROAD
Mailing Address - City:BLANCO
Mailing Address - State:TX
Mailing Address - Zip Code:78606-4574
Mailing Address - Country:US
Mailing Address - Phone:830-992-1251
Mailing Address - Fax:
Practice Address - Street 1:WILLIAM D. HOGAN
Practice Address - Street 2:800 HORTON PREISS ROAD
Practice Address - City:BLANCO
Practice Address - State:TX
Practice Address - Zip Code:78606-4574
Practice Address - Country:US
Practice Address - Phone:830-992-1251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care