Provider Demographics
NPI:1720086382
Name:SESSIONS, ROGER C (MD)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:C
Last Name:SESSIONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 N HIGH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75652-5914
Mailing Address - Country:US
Mailing Address - Phone:903-657-1441
Mailing Address - Fax:903-655-1442
Practice Address - Street 1:612 N HIGH ST
Practice Address - Street 2:SUITE A
Practice Address - City:HENDERSON
Practice Address - State:TX
Practice Address - Zip Code:75652-5914
Practice Address - Country:US
Practice Address - Phone:903-657-1441
Practice Address - Fax:903-655-1442
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5595207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110544703Medicaid
TX200025040OtherRR MCR
TXC8386OtherRR MCR GROUP
TX00476ZOtherMCR GROUP
TX2226360OtherBCBS BLUE LINK
TX0857690-01OtherMCD GROUP
TX0857690-01OtherMCD GROUP
TX86Z910Medicare ID - Type Unspecified
TX200025040OtherRR MCR