Provider Demographics
NPI:1699006171
Name:RODGER D. KOBES MD PHD PA
Entity Type:Organization
Organization Name:RODGER D. KOBES MD PHD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RODGER
Authorized Official - Middle Name:D
Authorized Official - Last Name:KOBES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-526-8642
Mailing Address - Street 1:3500 OAK LAWN STE 370
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-6720
Mailing Address - Country:US
Mailing Address - Phone:214-526-8642
Mailing Address - Fax:214-526-7082
Practice Address - Street 1:3500 OAK LAWN
Practice Address - Street 2:# 370
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4308
Practice Address - Country:US
Practice Address - Phone:214-526-8642
Practice Address - Fax:214-526-7082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG43292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty