Individual
JEFFREY B ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 RIVERFRONT DR, STE 103, FORT WORTH, TX 76107-6570
(817) 336-3800
(817) 335-9454
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H2736
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U87Z
BCBSTX GRP PIN
TX
05
—
115129203
—
TX
05
—
115129204
—
TX
01
—
133996
UHC PIN
TX
05
—
137345801
—
TX
01
—
1640342
FIRSTHEALTH PIN
TX
01
—
1750369203
GRP NPI NUMBER
—
05
—
177056201
—
TX
05
—
177056202
—
TX
01
—
2847964
CIGNA PIN
TX
01
—
4140242
AETNA PIN
TX
01
—
86W592
BCBSTX IND PIN
TX
01
—
ROGJE46797
CCHIP PIN
TX
Enumeration date
10/25/2006
Last updated
03/31/2009
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