OrganizationActive
Gary A. Ogin, MD, PA
NPI 1265714836 · Pain Medicine Physician · Southlake, TX
Provider details
- NPI number
- 1265714836
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Tina Davidovich, Administrator
- License
- G9176 (TX)
Practice location
700 E Southlake Blvd
Ste. 130
Southlake, TX 76092-6353
Phone: (817) 421-9111
Mailing address
363 W Fork
Irving, TX 75039-6229
Registry dates
- Enumerated
- 2011-09-09
- Last updated
- 2011-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.