Individual
CYNTHIA MICHELLE ROGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN
Contact information
Practice address
1201 FAIRMOUNT AVE, FORT WORTH, TX 76104-4215
(817) 335-5288
(817) 338-0927
Mailing address
601 OMEGA DR STE 208, ARLINGTON, TX 76014-2075
(817) 465-5881
(817) 465-6336
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
639647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192314601
—
TX
Enumeration date
07/13/2007
Last updated
04/01/2021
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