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Individual

WILLIAM RANDOLPH ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
310 STAGECOACH TRL, SUITE 200, SAN MARCOS, TX 78666-5134
(512) 396-4700
(512) 396-4796
Mailing address
134 E SIERRA CIR, SAN MARCOS, TX 78666-2534
(512) 396-3963

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
E5912
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E5912
MEDICAL LICENSE NUMBER
TX
01
F0027239
TX CONTROLLED SUBSTANCE
TX
Enumeration date
11/20/2006
Last updated
03/07/2023
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