Provider Demographics
NPI:1609045707
Name:ROBERT A VOGEL MD PA
Entity Type:Organization
Organization Name:ROBERT A VOGEL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:VOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:432-683-8516
Mailing Address - Street 1:PO BOX 4300
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79704-4300
Mailing Address - Country:US
Mailing Address - Phone:432-683-8516
Mailing Address - Fax:432-683-2324
Practice Address - Street 1:1407 W ILLINOIS AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6536
Practice Address - Country:US
Practice Address - Phone:432-683-8516
Practice Address - Fax:432-683-2324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110222277OtherRR MEDICARE
TX0066RFOtherBCBS
TX192548901Medicaid
TX00Y636Medicare PIN