Individual
DR. ROBERT J. ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4200 S HULEN ST STE 230, FORT WORTH, TX 76109-4924
(817) 315-2550
(817) 732-4660
Mailing address
4200 S HULEN ST STE 230, FORT WORTH, TX 76109-4924
(817) 315-2550
(817) 732-4660
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
F4444
TX
207KA0200X
Allergy Physician
F4444
TX
2080P0201X
Pediatric Allergy/Immunology Physician
F4444
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033448401
—
TX
Enumeration date
05/31/2005
Last updated
03/31/2022
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