Individual
DR. MATTHEW THOMAS ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 HILLCREST MEDICAL BLVD STE 303, WACO, TX 76712-8955
(254) 202-0480
(254) 202-0488
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
H6557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129151011
—
TX
05
—
129151012
—
TX
05
—
129151014
—
TX
05
—
129151015
—
TX
01
—
8CN880
BCBS
TX
01
—
P01480868
RAILROAD MEDICARE
TX
Enumeration date
12/09/2005
Last updated
07/21/2023
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