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Lori Jackson-Bogle is one of 20 physician assistants practicing in Pasadena, Texas .
Lori Jackson-Bogle practices with Med Management Associates.
Registry record (NPPES)
NPI
1952739518
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
7272 Wurzbach Rd Ste 601 San Antonio, TX 78240-4803 (210) 615-3483
Enumerated
Oct 17, 2013
Record last updated
Mar 21, 2024
License states listed
NC, NJ, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in NC, TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
4006 Vista Rd
Pasadena , TX 77504
(888) 365-6271
More physician assistants in Pasadena
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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