Individual
DANA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
405 LONDONDERRY DR STE 105, WACO, TX 76712-7920
(254) 776-0266
Mailing address
405 LONDONDERRY DR STE 105, WACO, TX 76712-7920
(254) 776-0266
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
71934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730657-01
—
TX
Enumeration date
09/01/2006
Last updated
07/11/2023
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