Provider Demographics
NPI:1730840349
Name:DR. ROGERS CENTERS - KERRVILLE, PA
Entity type:Organization
Organization Name:DR. ROGERS CENTERS - KERRVILLE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMYRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-495-2117
Mailing Address - Street 1:PO BOX 294806
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78029-4806
Mailing Address - Country:US
Mailing Address - Phone:830-896-8080
Mailing Address - Fax:830-896-8080
Practice Address - Street 1:1001 WATER STREET, BLDG J
Practice Address - Street 2:SUITE 200
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028
Practice Address - Country:US
Practice Address - Phone:210-495-2117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-05
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty