Individual
JESSE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12200 RENFERT WAY STE 100, AUSTIN, TX 78758-5654
(512) 451-8211
(512) 452-4095
Mailing address
12200 RENFERT WAY STE 100, AUSTIN, TX 78758-5654
(512) 451-8211
(512) 452-4095
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
T7018
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2018
Last updated
07/26/2022
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