Organization
VB ORTHOPAEDICS PA
Active
Other names
VBO or VB Ortho
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M VANDEN BERGE MD (OWNER)
(254) 968-0292
Entity
Organization
Contact information
Practice address
351 E TARLETON ST, STEPHENVILLE, TX 76401-3511
(254) 968-0292
(888) 289-1607
Mailing address
P.O. BOX 2576, STEPHENVILLE, TX 76401-0043
(254) 968-0292
(888) 289-1607
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
N2329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332614201
—
TX
Enumeration date
07/31/2013
Last updated
04/11/2019
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