Doctor Name: | ERNEST L HOGUE |
NPI Number: | 1356502504 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | C2635 |
Business Practice Address: | 1300 Country Club Terrace Jonesboro, AR - 72401 |
Business Phone Number: | 8709324493 |
Business Fax Number: | |
Mailing Address: | 1300 Country Club Terrace, JONESBORO |
State: | AR |
Postal Code: | 72401 |
Phone Number: | 8709324493 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2008 |
NPI Last Update Date: | 06/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C2635 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |