Provider Demographics
NPI:1669608659
Name:GROGANS, RO-JON ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:RO-JON
Middle Name:ALLEN
Last Name:GROGANS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:126 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:PALESTINE
Mailing Address - State:TX
Mailing Address - Zip Code:75801-8506
Mailing Address - Country:US
Mailing Address - Phone:903-731-0509
Mailing Address - Fax:903-723-3064
Practice Address - Street 1:126 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75801-8506
Practice Address - Country:US
Practice Address - Phone:903-731-0509
Practice Address - Fax:903-723-3064
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP1-0034819208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery