Doctor Name: | BRIAN POGUE |
NPI Number: | 1396115390 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 3118440 |
Business Practice Address: | 1014 N Nolan River Rd Cleburne, TX - 760337935 |
Business Phone Number: | 8176418617 |
Business Fax Number: | |
Mailing Address: | 1014 N. Nolan River Road, CLEBURNE |
State: | TX |
Postal Code: | 760337935 |
Phone Number: | 8176418617 |
Fax Number: | 8176456966 |
NPI Enumeration Date: | 10/02/2015 |
NPI Last Update Date: | 12/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3118440 |
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 |