Individual
CHARLES CRAIG ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6974 GATEWAY BLVD E, STE F, EL PASO, TX 79915-1115
(915) 774-8850
(915) 598-3946
Mailing address
8030 N LOOP DR, EL PASO, TX 79915-3226
(915) 591-2704
(915) 598-3946
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218708001
—
TX
Enumeration date
10/06/2010
Last updated
05/25/2011
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