Individual
ROY KENT ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1807 W UNIVERSITY BLVD, DURANT, OK 74701-3011
(580) 920-2273
(580) 920-9978
Mailing address
5012 S US HIGHWAY 75 STE 300, ATTN: BILLING, DENISON, TX 75020-4589
(580) 920-2273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
812
OK
363A00000X
Physician Assistant
PA02240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100132370A
—
OK
05
—
343050601
—
TX
Enumeration date
02/26/2007
Last updated
09/30/2021
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