| Dr. Rogers Centers - Kerrville, Pa | |
|
1001 Water Street, Bldg J Suite 200 Kerrville TX 78028 | |
| (210) 495-2117 | |
| Not Available |
| Full Name | Dr. Rogers Centers - Kerrville, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1001 Water Street, Bldg J, Kerrville, Texas |
| Authorized Official Name and Position | Tamyra L Rogers (OWNER) |
| Authorized Official Contact | 2104952117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Rogers Centers - Kerrville, Pa Po Box 294806 Kerrville TX 78029-4806 Ph: (830) 896-8080 | Dr. Rogers Centers - Kerrville, Pa 1001 Water Street, Bldg J Suite 200 Kerrville TX 78028 Ph: (210) 495-2117 |
| NPI Number | 1730840349 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 02/22/2022 |
| Medicare PECOS PAC ID | 0143613125 |
|---|---|
| Medicare Enrollment ID | O20220216000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730840349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tamyra L Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134108962 PECOS PAC ID: 0941260194 Enrollment ID: I20041014000161 |
| Provider Name | Alyson L Redman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114120680 PECOS PAC ID: 9335232487 Enrollment ID: I20070905000352 |
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