Healthcare Provider Details

I. General information

NPI: 1831295898
Provider Name (Legal Business Name): REBECCA A. ROHRS PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 09/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

497 10TH ST. STE. 101
FLORESVILLE TX
78114
US

IV. Provider business mailing address

497 10TH ST. STE. 101
FLORESVILLE TX
78114
US

V. Phone/Fax

Practice location:
  • Phone: 830-393-1630
  • Fax: 830-393-1633
Mailing address:
  • Phone: 830-393-1630
  • Fax: 830-393-1633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA03624
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: