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NPI Code Detail

MEDICARE: MARK ROGERS MD

MEDICARE: MARK 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
1207P00000XEmergency Medicine PhysicianQ0167TX

General Provider Information

NPI Number : 1750599890
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ROGERS MD
Provider Business Mailing Address
First Line : 1133 JOHN FREEMAN BLVD
Second Line : JJL 451-D
City : HOUSTON
State : TX
Zip : 77030-3412
Country : US
Telephone Number : 713-500-7882
Fax Number :
Provider Business Practice Location Address
First Line : 1133 JOHN FREEMAN BLVD
Second Line : JJL 451-D
City : HOUSTON
State : TX
Zip : 77030-3412
Country : US
Telephone Number : 713-500-7882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 05/05/2014

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