Individual
COURTNEY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
261 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-7046
(817) 310-8783
Mailing address
261 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-7046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17948
TX
Other
Enumeration date
03/07/2024
Last updated
05/07/2024
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