Individual provider · Type 1 NPI

Izaiah Bogs

Student in an Organized Health Care Education/Training Program · Stephenville, TX

NPI number 1417874264 Active

Practice location

1333 W Washington St
Stephenville, TX 76401-4168

Mailing address

12326 Franco Lane
Knickerbocker, TX 76939

Other practice locations

  • 10850 Texan Rider Dr, Crowley, TX 76036-9414 · (817) 732-7300

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4610410 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417874264

Izaiah Bogs's National Provider Identifier is 1417874264, issued on Jul 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stephenville, TX. The record was last updated on Jul 2, 2026.