Eric Bradley Vogt
Nurse Practitioner - Acute Care
800 E Dawson St
Tyler
, Texas 75701-2036
Eric Bradley Vogt
Nurse Practitioner - Acute Care
800 E Dawson St
Tyler
, Texas 75701-2036
(903) 324-6400
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Eric Bradley Vogt
- Po Box 846098
- Dallas, TX
- Zip : 75284-6098
- Phone : (903) 324-6400
Second Address
- Eric Bradley Vogt
- 800 E Dawson St
- Tyler, TX
- Zip : 75701-2036
- Phone : (903) 606-5864
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | AP145418 | TX |
National Provider Identifier
| NPI | 1033739388 |
|---|---|
| Provider Name | Eric Bradley Vogt |
| First Address | Dallas, TX 75284-6098 |
| Second Address | Tyler, TX 75701-2036 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2020 |
| Last Update Date | 13/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1C6316 | MEDICARE (01) | TX |
| 8MR185 | BCBS (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.