MEDICARE: ELIZABETH ROGERS MD

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	208600000X	Surgery Physician	S6499	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1497118442	OTHER	TX	NPI

General Provider Information

NPI Number	:	1497118442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ROGERS MD

Provider Business Mailing Address
First Line	:	2001 N MACARTHUR BLVD STE 700
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75061-2204
Country	:	US
Telephone Number	:	469-800-1300
Fax Number	:	469-800-1310

Provider Business Practice Location Address
First Line	:	2001 N MACARTHUR BLVD STE 700
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75061-2204
Country	:	US
Telephone Number	:	469-800-1300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2016
Last Update Date	:	06/01/2026

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