Provider Demographics
NPI:1730187873
Name:ADORNO ROGERS TECHNOLOGY, INC
Entity type:Organization
Organization Name:ADORNO ROGERS TECHNOLOGY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:HARWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-312-3023
Mailing Address - Street 1:1807 W BRAKER LN
Mailing Address - Street 2:SUITE C500
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-3607
Mailing Address - Country:US
Mailing Address - Phone:512-474-7267
Mailing Address - Fax:512-322-9153
Practice Address - Street 1:1807 W BRAKER LN
Practice Address - Street 2:SUITE C500
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-3607
Practice Address - Country:US
Practice Address - Phone:512-474-7267
Practice Address - Fax:512-322-9153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1237330001332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX530624OtherBLUE CROSS & BLUE SHIELD
TX7759588OtherAETNA
TX530624OtherBLUE CROSS & BLUE SHIELD