Individual
GEORGE P RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6811 AUSTIN CENTER BLVD, SUITE 410, AUSTIN, TX 78731-3146
(512) 324-2705
(512) 324-2706
Mailing address
1400 N IH 35, SUITE 300, AUSTIN, TX 78701-1926
(512) 324-8300
(512) 324-8301
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G5548
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134200812
—
TX
05
—
134200813
—
TX
05
—
134200814
—
TX
05
—
134200815
—
TX
01
—
8CR656
BCBS
TX
01
—
8ET556
BCBS
TX
Enumeration date
08/16/2005
Last updated
12/12/2014
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