Individual
ELIZABETH ROGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, DT
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-1990
(682) 885-1985
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT84122
TX
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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