Organization
GERALD W ROGERS M.A.,M.S.W.,PHD,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD WAYNE ROGERS PHD, P.A. (LICENSED CLINICAL SOCIAL WORKER)
(806) 354-9996
Entity
Organization
Contact information
Practice address
7480 GOLDEN POND SUITE 400, AMARILLO, TX 79121
(806) 354-9996
(806) 354-9995
Mailing address
PO BOX 50660, AMARILLO, TX 79159-0660
(806) 354-9996
(806) 354-9995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11662504
CAQH
TX
01
—
1952499451
NPI
TX
Enumeration date
04/23/2007
Last updated
07/21/2022
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