Organization Active NPI

Hogan Wellness PLLC

  • Internal Medicine Physician
  • Magnolia, TX
National Provider Identifier
1972071678
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HOGAN WELLNESS PLLC
Practice address
7030 FM 1488 Rd Ste 220
Magnolia, TX 77354-6772
Phone
(512) 417-9108
NPI assigned
Nov 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Justin Hogan, MD
Title
Medical Director
Phone
(512) 417-9108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7030 FM 1488 Rd Ste 220
Magnolia, TX 77354-6772

Mailing address

7030 FM 1488 Rd Ste 220
Magnolia, TX 77354-6772
Phone (512) 417-9108

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1972071678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 FM 1488 RD STE 220",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773546772",
            "telephone_number": "512-417-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 FM 1488 RD STE 220",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773546772",
            "telephone_number": "512-417-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOGAN WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-417-9108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.