Basic Information
| Provider Information | |||||||||
| NPI: | 1508031956 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | OGBORN | ||||||||
| FirstName: | ARTHUR | ||||||||
| MiddleName: | CHESTER | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 421 | ||||||||
| Address2: | |||||||||
| City: | LIBERTY LAKE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 990190421 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5094743568 | ||||||||
| FaxNumber: | 5092277070 | ||||||||
| Practice Location | |||||||||
| Address1: | 844 CENTRAL BLVD STE 420 | ||||||||
| Address2: | |||||||||
| City: | BROWNSVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785207535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9565429900 | ||||||||
| FaxNumber: | 9565740003 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/28/2008 | ||||||||
| LastUpdateDate: | 10/28/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0214X | MED-PHYS-LIC-99537 | MT | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Pulmonology | 2080P0214X | Q0527 | TX | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Pulmonology | 208D00000X | MED-PHYS-LIC-99537 | MT | N | Allopathic & Osteopathic Physicians | General Practice | 208D00000X | Q0527 | TX | N | Allopathic & Osteopathic Physicians | General Practice | 2080P0214X | MD61232104 | WA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Pulmonology |
No ID Information.