Individual
MRS. KYLIE RHEA VOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1411 N BECKLEY AVE, PAVILLION III, SUITE 152, DALLAS, TX 75203-1259
(214) 948-2076
Mailing address
8462 HUNNICUT RD, DALLAS, TX 75228-5935
(214) 205-6435
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10906
TX
Other
Enumeration date
04/03/2017
Last updated
12/03/2021
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