Doctor Name: | JASON VOGEL |
NPI Number: | 1992124366 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 33518 Haley Rd Ste 1 Waller, TX - 774845110 |
Business Phone Number: | 8883442947 |
Business Fax Number: | 2816224381 |
Mailing Address: | Po Box 1577, WALLER |
State: | TX |
Postal Code: | 774841577 |
Phone Number: | 8883442947 |
Fax Number: | 2816224381 |
NPI Enumeration Date: | 04/14/2014 |
NPI Last Update Date: | 04/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |