Provider Demographics
NPI:1326483686
Name:ROGERS, AMBER RACHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:RACHELLE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W ARBROOK BLVD STE 330
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-3182
Mailing Address - Country:US
Mailing Address - Phone:817-960-9139
Mailing Address - Fax:
Practice Address - Street 1:928 LIPSCOMB ST STE 100
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3171
Practice Address - Country:US
Practice Address - Phone:682-246-0262
Practice Address - Fax:682-990-2594
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ3589207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine