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NPI Code Detail

MEDICARE: NANCY CAROLINE MCRAE-VOGLER M.D.

MEDICARE: NANCY CAROLINE MCRAE-VOGLER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistK2360TX
2208000000XPediatrics PhysicianK2360TX

General Provider Information

NPI Number : 1649364241
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY CAROLINE MCRAE-VOGLER M.D.
Provider Business Mailing Address
First Line : 6210 S BROADWAY AVE
Second Line :
City : TYLER
State : TX
Zip : 75703-4413
Country : US
Telephone Number : 903-579-2700
Fax Number : 903-579-2799
Provider Business Practice Location Address
First Line : 6210 S BROADWAY AVE
Second Line :
City : TYLER
State : TX
Zip : 75703-4413
Country : US
Telephone Number : 903-579-2700
Fax Number : 903-579-2799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/07/2021

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