Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ZZ | |
N | 175F00000X | Naturopath | ||
N | 207RH0003X | Hematology & Oncology | 1535285 | ZZ |
NPI | 1326301045 |
---|---|
Provider Name | Dr. Charles Layton Rogers |
First Address | Dripping Springs, TX 78620 |
Second Address | Acapulco, GRO 39390 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2012 |
Last Update Date | 19/03/2021 |