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NPI Code Detail

MEDICARE: DAVID EDWARD ROGERS M.D.

MEDICARE:   DAVID EDWARD ROGERS  M.D.
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
1207VG0400XGynecology PhysicianE8860TX
2207V00000XObstetrics & Gynecology PhysicianE8860TX

General Provider Information

NPI Number : 1558365510
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID EDWARD ROGERS M.D.
Provider Business Mailing Address
First Line : P.O. BOX 845347
Second Line :
City : DALLAS
State : TX
Zip : 75284-5347
Country : US
Telephone Number : 214-645-0624
Fax Number : 214-645-0078
Provider Business Practice Location Address
First Line : 5323 HARRY HINES BOULEVARD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7208
Country : US
Telephone Number : 214-645-0624
Fax Number : 214-645-0078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 09/03/2015

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Directions to “ DAVID EDWARD ROGERS M.D.” Practice Location

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