Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 96-357 | NM |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | R2457 | TX |
NPI | 1639185226 |
---|---|
Provider Name | Dr. Rebecca G Rogers |
First Address | Austin, TX 78712-1845 |
Second Address | Austin, TX 78705-1188 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 20/04/2017 |