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Individual
TERESE B RODGERS
Active
Individual
TERESE B RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
587427
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP104652
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149365201
—
TX
01
—
85275U
BLUE CROSS PROVIDER ID
TX
01
—
P00606660
MEDICARE RAILROAD
TX
Enumeration date
06/15/2006
Last updated
07/29/2020
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