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NPI Code Detail

MEDICARE: ROBERT J. ROGERS, M.D., P.A.

MEDICARE: ROBERT J. ROGERS, M.D., P.A.
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
1261QM2500XMedical Specialty Clinic/CenterF4444TX

Other Identifiers

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

General Provider Information

NPI Number : 1912169467
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT J. ROGERS, M.D., P.A.
Provider Business Mailing Address
First Line : 4200 S HULEN ST STE 230
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4924
Country : US
Telephone Number : 818-315-2550
Fax Number : 817-732-4660
Provider Business Practice Location Address
First Line : 4200 S HULEN ST STE 230
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4924
Country : US
Telephone Number : 818-315-2550
Fax Number : 817-732-4660
Authorized Official
Title or Position : DIRECTOR
Name : DR. ROBERT J. ROGERS
Credential : M.D.
Telephone Number : 817-315-2550
Provider Enumeration Date : 06/26/2008
Last Update Date : 03/31/2022

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1609536275 — MILLARD L TIERCE IV DO
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