Organization
D. DEBRA ROGERS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SULLIVAN (REIMBURSEMENT COORDINATOR)
(210) 863-3195
Entity
Organization
Contact information
Practice address
315 N SAN SABA, #1180, SAN ANTONIO, TX 78207-3154
(210) 270-7800
(210) 270-7803
Mailing address
PO BOX 701306, SAN ANTONIO, TX 78270-1306
(210) 270-7800
(210) 270-7803
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J4485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174322101
—
TX
01
—
J4485
LICENSE
TX
Enumeration date
08/11/2008
Last updated
08/11/2008
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