Individual
HAROLD LYNN RODGERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 RAINTREE CIR, SUITE 100, ALLEN, TX 75013-4900
(972) 727-9995
(972) 727-8350
Mailing address
1125 RAINTREE CIR, SUITE 100, ALLEN, TX 75013-4900
(972) 727-9995
(972) 727-8350
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G6001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8CR168
BC/BS TX - EFFECT. 02/01/2011
TX
01
—
HH011A
BCBS
—
01
—
P00913329
MEDICARE RAILROAD - EFFECT 02/01/2011
TX
01
—
TXB117535
MEDICARE PART B - EFFECT. 02/01/2011
TX
Enumeration date
07/19/2005
Last updated
03/20/2019
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