Individual
GRACE NICOLE ROGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717-6210
(737) 229-3550
Mailing address
13001 E 17TH PL, AURORA, CO 80045-2570
(303) 724-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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