Rogers, Randall D

Rogers, Randall D is an individual health care provider with primary practice located at 1303 Mccullough Ave Suite 265, San Antonio TX 78212-5609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Rogers, Randall D can be contacted via phone (210) 224-0402.

Contact Information

Primary practice address
1303 Mccullough Ave Suite 265 San Antonio TX 78212-5609
Phone: (210) 224-0402
Fax: (210) 593-5992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X E8863 Texas

Profile Details

NPI number 1679659791
LBN Legal business name Rogers, Randall D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jun 24th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679659791 NPPES
Texas MEDICAID 036259201
Texas MEDICAID 036259202

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