Individual
ROGER D SMALLIGAN
Active
Individual
ROGER D SMALLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.35626
AL
207R00000X
Internal Medicine Physician
MD21385
TN
207R00000X
Internal Medicine Physician
N4758
TX
208000000X
Pediatrics Physician
21385
TN
208000000X
Pediatrics Physician
N4758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200263280 A
—
OK
05
—
205346401
—
TX
05
—
205346402
—
TX
01
—
205346403
MEDICAID - CSHCN
TX
05
—
40572889
—
NM
05
—
4086850
—
TN
Enumeration date
10/06/2005
Last updated
01/19/2023
Update your record
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