Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | M6809 | TX |
NPI | 1114123080 |
---|---|
Provider Name | Dr. Steven Boyd Ogden |
First Address | Fort Worth, TX 76132-4245 |
Second Address | Fort Worth, TX 76132-4245 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2007 |
Last Update Date | 27/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
203161902 | (05) | TX |