Individual
PAMELA ROGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3300 N MCCOLL RD STE A, MCALLEN, TX 78501-5696
(956) 661-0475
Mailing address
3300 N MCCOLL RD STE A, MCALLEN, TX 78501-5696
(956) 661-0475
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
210471
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45-4597
—
TX
Enumeration date
10/21/2009
Last updated
10/21/2009
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