Individual
DR. BRUCE ALLEN RODGERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24022 CINCO VILLAGE CENTER BLVD, SUITE 250, KATY, TX 77494-8397
(281) 578-7600
(281) 578-7600
Mailing address
24022 CINCO VILLAGE CENTER BLVD, SUITE 250, KATY, TX 77494-8397
(281) 578-7600
(281) 578-7600
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
M6364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y526
GROUP PTAN
TX
Enumeration date
04/26/2007
Last updated
11/13/2012
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