Provider Demographics
NPI:1447209515
Name:ROGERS, SANDRA D (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:D
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1105 CENTRAL EXPY N
Mailing Address - Street 2:STE 110
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6103
Mailing Address - Country:US
Mailing Address - Phone:972-727-9877
Mailing Address - Fax:972-727-5105
Practice Address - Street 1:1105 CENTRAL EXPY N
Practice Address - Street 2:STE 110
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6103
Practice Address - Country:US
Practice Address - Phone:972-727-9877
Practice Address - Fax:972-727-5105
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL8291207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI17012Medicare UPIN