Individual
DR. ANTHONY J. ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5625 BROADWAY ST, SAN ANTONIO, TX 78209-5719
(210) 227-6815
(210) 579-6479
Mailing address
5625 BROADWAY ST, SAN ANTONIO, TX 78209-5719
(210) 227-6815
(210) 579-6479
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532020-1
—
TX
Enumeration date
02/07/2007
Last updated
07/09/2007
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