Basic Information
Provider Information
NPI: 1245537406
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROGERS
FirstName: AMBER
MiddleName: PRESSON
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 205 E UNIVERSITY AVE STE 200
Address2:  
City: GEORGETOWN
State: TX
PostalCode: 786266821
CountryCode: US
TelephoneNumber: 5126860207
FaxNumber:  
Practice Location
Address1: 2120 N MAYS ST STE 430
Address2:  
City: ROUND ROCK
State: TX
PostalCode: 786642108
CountryCode: US
TelephoneNumber: 8778005722
FaxNumber: 5122555268
Other Information
ProviderEnumerationDate: 02/23/2011
LastUpdateDate: 06/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XN4709TXN Allopathic & Osteopathic PhysiciansAnesthesiology 
208000000XN4709TXY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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