Provider Demographics
NPI:1366853863
Name:VOGEL, STEPHEN ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:ROBERT
Last Name:VOGEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:187 PR 4060
Mailing Address - Street 2:
Mailing Address - City:LAMPASAS
Mailing Address - State:TX
Mailing Address - Zip Code:76550
Mailing Address - Country:US
Mailing Address - Phone:512-556-3621
Mailing Address - Fax:512-556-4080
Practice Address - Street 1:187 PR 4060
Practice Address - Street 2:
Practice Address - City:LAMPASAS
Practice Address - State:TX
Practice Address - Zip Code:76550
Practice Address - Country:US
Practice Address - Phone:512-556-3621
Practice Address - Fax:512-556-4080
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE28862207Q00000X
TXS9078207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine