Individual
MS. LAURA E ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
7272 WURZBACH RD STE 601, SAN ANTONIO, TX 78240-4803
(210) 615-3483
Mailing address
11139 COUNTY ROAD 1141, TYLER, TX 75709-4929
(903) 504-2030
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1057920
TX
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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