Individual
DR. BETHANY ROGGENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2920 W PARK ROW DR STE 100, PANTEGO, TX 76013-2054
(817) 277-1111
Mailing address
2920 W PARK ROW DR STE 100, PANTEGO, TX 76013-2054
(817) 277-1111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14149
TX
Other
Enumeration date
10/03/2019
Last updated
03/17/2021
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