Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | F0650 | TX |
NPI | 1275530347 |
---|---|
Provider Name | Dr. James H Rogers JR. |
First Address | San Antonio, TX 78229-4554 |
Second Address | San Antonio, TX 78229-4554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 26/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
043047203 | (05) | TX |
D97677 | (02) |