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Dereke Bogier
Psychiatric/Mental Health Nurse Practitioner in Midlothian, Texas
NPI 1144002346

Dereke Bogier is a Psychiatric/Mental Health Nurse Practitioner based in Midlothian, TX and is specialized in Psychiatric/Mental Health. Dereke Bogier practices in Midlothian, TX. The NPI Number for Dereke Bogier is 1144002346 and holds a License No. 1134798 (Texas).

The current practice location address for Dereke Bogier is 4610 Rawhide Trl, Midlothian, TX and can be reached out via phone at 817-937-7817.

Location: 4610 Rawhide Trl, Midlothian, TX, 76065-0575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144002346
Provider Name
Dereke Bogier
Credential
Provider Entity Type
Individual
Gender
Male
Address
4610 Rawhide Trl, Midlothian, TX, 76065-0575
Phone Number
817-937-7817
Fax Number
Provider Enumeration Date
10/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4610 Rawhide Trl
City
Midlothian
State
Texas
Zip
76065-9458
Phone Number
817-937-7817
Fax Number
person
Provider Business Mailing Address Details
Address
4610 Rawhide Trl
City
Midlothian
State
Texas
Zip
76065-9458
Phone Number
817-937-7817
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
1134798 (Texas)
Definition
Definition to come...
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