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Eric Bradley Vogt
Acute Care Nurse Practitioner in Tyler, Texas
NPI 1033739388

Eric Bradley Vogt is an Acute Care Nurse Practitioner based in Dallas, TX and is specialized in Acute Care. Eric Bradley Vogt practices in Tyler, TX. The NPI Number for Eric Bradley Vogt is 1033739388 and holds a License No. AP145418 (Texas).

The current practice location address for Eric Bradley Vogt is 800 E Dawson St, Tyler, TX and can be reached out via phone at 903-606-5864. You can also correspond with Eric Bradley Vogt through the mailing address at PO BOX 846098, DALLAS, TX - 75284-6098 (mailing address contact number: 903-324-6400).

Location: 800 E Dawson St, Tyler, TX, 75284-6098
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Provider Profile Details
NPI Number
1033739388
Provider Name
Eric Bradley Vogt
Credential
Provider Entity Type
Individual
Gender
Male
Address
800 E Dawson St, Tyler, TX, 75284-6098
Phone Number
903-606-5864
Fax Number
Provider Enumeration Date
04/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1C6316 01 TX MEDICARE
8MR185 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
800 E Dawson St
City
State
Zip
75701-2036
Phone Number
903-606-5864
Fax Number
person
Provider Business Mailing Address Details
Address
800 E Dawson St
City
State
Zip
75701-2036
Phone Number
903-606-5864
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
AP145418 (Texas)
Definition
Definition to come...
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