Organization
PADRE DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN TRAVIS ROGERS MD (OWNER)
(361) 867-1032
Entity
Organization
Contact information
Practice address
14650 COMPASS ST STE 1, CORPUS CHRISTI, TX 78418-6237
(361) 867-1032
(361) 867-1018
Mailing address
PO BOX 6696, CORPUS CHRISTI, TX 78466-6696
(361) 985-1221
(361) 992-1667
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
Q6096
TX
Other
Enumeration date
12/14/2015
Last updated
01/10/2023
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