Individual
CLARISSA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(512) 731-1246
Mailing address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14961
TX
Other
Enumeration date
02/15/2021
Last updated
08/07/2024
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