MEDICARE: JAMES H. ROGERS JR MD PA

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
1	2080P0202X	Pediatric Cardiology Physician	H1773	TX
2	2080P0202X	Pediatric Cardiology Physician	K7813	TX
3	2080P0202X	Pediatric Cardiology Physician	F0650	TX

General Provider Information

NPI Number	:	1306843289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES H. ROGERS JR MD PA

Provider Business Mailing Address
First Line	:	1901 BABCOCK RD
Second Line	:	SUITE 301
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4554
Country	:	US
Telephone Number	:	210-341-7722
Fax Number	:	210-342-8616

Provider Business Practice Location Address
First Line	:	1901 BABCOCK RD
Second Line	:	SUITE 301
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4554
Country	:	US
Telephone Number	:	210-341-7722
Fax Number	:	210-342-8616

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES H ROGERS JR.
Credential	:	MD
Telephone Number	:	210-341-7722

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	11/26/2007

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