Provider Demographics
NPI:1871634832
Name:VOGE, VICTORIA MAE (MD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MAE
Last Name:VOGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:15068 FM 766
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:TX
Mailing Address - Zip Code:78629-9113
Mailing Address - Country:US
Mailing Address - Phone:830-437-5772
Mailing Address - Fax:830-437-5295
Practice Address - Street 1:15068 FM 766
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:TX
Practice Address - Zip Code:78629-9113
Practice Address - Country:US
Practice Address - Phone:830-437-5772
Practice Address - Fax:830-437-5295
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK-11222083A0100X, 2083P0500X, 2083X0100X
VA01010244762083A0100X, 2083P0500X, 2083X0100X
FLME319532083A0100X
FLME 319532083P0500X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
Not Answered2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Not Answered2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine