MEDICARE: MARK R ROGERS MDPA

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	207X00000X	Orthopaedic Surgery Physician	H0770	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467453423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK R ROGERS MDPA

Provider Business Mailing Address
First Line	:	12000 RICHMOND AVE
Second Line	:	#370
City	:	HOUSTON
State	:	TX
Zip	:	77082
Country	:	US
Telephone Number	:	281-497-9993
Fax Number	:	281-497-9991

Provider Business Practice Location Address
First Line	:	12000 RICHMOND AVE
Second Line	:	#370
City	:	HOUSTON
State	:	TX
Zip	:	77082
Country	:	US
Telephone Number	:	281-497-9993
Fax Number	:	281-497-9991

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	11/02/2015

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Directions to “ MARK R ROGERS MDPA” Practice Location

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