Provider Demographics
NPI:1659381663
Name:ROGERS, DORA D (MD)
Entity Type:Individual
Prefix:
First Name:DORA
Middle Name:D
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:D
Other - Middle Name:DEBRA
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 701306
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78270-1306
Mailing Address - Country:US
Mailing Address - Phone:210-270-7800
Mailing Address - Fax:210-270-7803
Practice Address - Street 1:315 N SAN SABA
Practice Address - Street 2:STE 1180
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3154
Practice Address - Country:US
Practice Address - Phone:210-270-7800
Practice Address - Fax:210-270-7803
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4485207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174323903Medicaid
TX174323905Medicaid
TX174323902Medicaid
TX174323901Medicaid
TX174323909Medicaid
TX8BD729OtherBCBS
TX174323903Medicaid
8F0090Medicare ID - Type Unspecified