Individual
DR. KENNETH JAMES ROEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-6393
(214) 456-5587
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-6393
(214) 456-5587
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
836156
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP140339
TX
Other
Enumeration date
01/11/2019
Last updated
02/19/2025
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