| Doctor Name: | DR. PREM P GOGIA |
| NPI Number: | 1053518605 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT, MD, PHD |
| License Number: | 1042711 |
| Business Practice Address: | 6100 Corporate Dr Suite 270 Houston, TX - 770363419 |
| Business Phone Number: | 7132705375 |
| Business Fax Number: | 7132705718 |
| Mailing Address: | Po Box 742685, HOUSTON |
| State: | TX |
| Postal Code: | 772742685 |
| Phone Number: | 7132705375 |
| Fax Number: | 7132705718 |
| NPI Enumeration Date: | 06/28/2007 |
| NPI Last Update Date: | 03/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1042711 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |