Provider Demographics
NPI:1447838610
Name:OGLE, ALLISON (DO)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:OGLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FM 3351 S STE 115
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-5729
Mailing Address - Country:US
Mailing Address - Phone:210-876-3646
Mailing Address - Fax:
Practice Address - Street 1:1 FM 3351 S STE 115
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-5729
Practice Address - Country:US
Practice Address - Phone:210-876-3646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU7029207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine