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Individual

DR. DAVOR VUGRIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2232 INDIANA AVE, SUITE 102, LUBBOCK, TX 79410-2139
(806) 793-0988
(806) 793-1697
Mailing address
2232 INDIANA AVE, SUITE 102, LUBBOCK, TX 79410-2139
(806) 793-0988
(806) 793-1697

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
H1235
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00F37N
BLUE CROSS PROVIDER #
TX
05
098261301
TX
01
752380470
TRICARE #
TX
Enumeration date
11/15/2006
Last updated
02/13/2014
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