Jason Alan Mogonye
Family Doctor Family Doctor - Sports Medicine
701 East I-20 Suite 101
Arlington
, Texas 76018
Jason Alan Mogonye
Family Doctor Family Doctor - Sports Medicine
701 East I-20 Suite 101
Arlington
, Texas 76018
(817) 852-8700
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Jason Alan Mogonye
- 701 East I-20 Suite 101
- Arlington, TX
- Zip : 76018
- Phone : (817) 852-8700
Second Address
- Jason Alan Mogonye
- 701 East I-20 Suite 101
- Arlington, TX
- Zip : 76018
- Phone : (817) 852-8700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | M8189 | TX |
| Y | 207QS0010X | Family Doctor - Sports Medicine | M8189 | TX |
National Provider Identifier
| NPI | 1205015930 |
|---|---|
| Provider Name | Jason Alan Mogonye |
| First Address | Arlington, TX 76018 |
| Second Address | Arlington, TX 76018 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/10/2007 |
| Last Update Date | 26/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.