Provider Demographics
NPI:1134997562
Name:RODGERS, SYNIA L (DONA/CD)
Entity type:Individual
Prefix:
First Name:SYNIA
Middle Name:L
Last Name:RODGERS
Suffix:
Gender:F
Credentials:DONA/CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 BAKER DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-1345
Mailing Address - Country:US
Mailing Address - Phone:330-734-7753
Mailing Address - Fax:
Practice Address - Street 1:1421 BAKER DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-1345
Practice Address - Country:US
Practice Address - Phone:330-734-7753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5279374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula