| Dr Rogers Medical Group Pa. | |
|
2838 N Loop 1604 E Ste 104 San Antonio TX 78232-1711 | |
| (210) 495-2117 | |
| (888) 893-4363 |
| Full Name | Dr Rogers Medical Group Pa. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2838 N Loop 1604 E, San Antonio, Texas |
| Authorized Official Name and Position | Tamyra Lee 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 Medical Group Pa. 2838 North Loop 1604 Suite 104 San Antonio TX 78232-1702 Ph: (210) 495-2117 | Dr Rogers Medical Group Pa. 2838 N Loop 1604 E Ste 104 San Antonio TX 78232-1711 Ph: (210) 495-2117 |
| NPI Number | 1700928967 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 12/29/2016 |
| Medicare PECOS PAC ID | 7315907565 |
|---|---|
| Medicare Enrollment ID | O20041013000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700928967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L3099 (Texas) | Primary |
| Provider Name | David Tharakan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386732527 PECOS PAC ID: 8729061395 Enrollment ID: I20040615001791 |
| Provider Name | Melissa M Kempf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568541043 PECOS PAC ID: 2365426277 Enrollment ID: I20040617000604 |
| 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 |
| Provider Name | Adrienne W Askew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861699456 PECOS PAC ID: 4789749250 Enrollment ID: I20090217000289 |
| Provider Name | Marcela Riojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841456332 PECOS PAC ID: 8325229586 Enrollment ID: I20110221000730 |
| Provider Name | Marius Vulcan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104142397 PECOS PAC ID: 4688994270 Enrollment ID: I20150521002178 |
| Provider Name | Michele Merritt Meinhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447235510 PECOS PAC ID: 0244143188 Enrollment ID: I20240521003618 |
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