Individual
MATTHEW DAVID ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1303 MCCULLOUGH, SUITE 270, SAN ANTONIO, TX 78212
(210) 474-7020
Mailing address
7909 FREDERICKSBURG ROAD, SUITE 110, SAN ANTONIO, TX 78229-3400
(210) 614-4544
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
P7196
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129151016
—
TX
01
—
418131YNQM
MEDICARE
TX
Enumeration date
05/11/2010
Last updated
02/15/2016
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