Provider Demographics
NPI:1710114723
Name:HOBBS-ROGERS ORGANIAZTION, LLC
Entity Type:Organization
Organization Name:HOBBS-ROGERS ORGANIAZTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:RANDY
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:318-218-9583
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:LA
Mailing Address - Zip Code:71033-0338
Mailing Address - Country:US
Mailing Address - Phone:877-684-1888
Mailing Address - Fax:318-746-9977
Practice Address - Street 1:9021 CHERRY RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:LA
Practice Address - Zip Code:71033-3054
Practice Address - Country:US
Practice Address - Phone:877-684-1888
Practice Address - Fax:318-746-9977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile