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NPI Code Detail

MEDICARE: TAMYRA L ROGERS MD

MEDICARE: TAMYRA L 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
1207R00000XInternal Medicine PhysicianL3099TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10025LNOTHERTXBCBS

General Provider Information

NPI Number : 1134108962
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMYRA L ROGERS MD
Provider Business Mailing Address
First Line : 2838 N LOOP 1604 E
Second Line : STE 104
City : SAN ANTONIO
State : TX
Zip : 78232-1712
Country : US
Telephone Number : 210-495-2117
Fax Number : 888-893-4363
Provider Business Practice Location Address
First Line : 2838 N LOOP 1604 E
Second Line : STE. 104
City : SAN ANTONIO
State : TX
Zip : 78232-1711
Country : US
Telephone Number : 210-495-2117
Fax Number : 888-893-4363
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 12/29/2016

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Directions to “ TAMYRA L ROGERS MD” Practice Location

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