Individual
MR. GARY RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
2100 N HIGHWAY 360, SUITE 1802, GRAND PRAIRIE, TX 75050-1011
(972) 647-8567
(972) 660-4548
Mailing address
2100 N HIGHWAY 360, SUITE 1802, GRAND PRAIRIE, TX 75050-1011
(972) 647-8567
(972) 660-4548
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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