Basic Information
Provider Information
NPI: 1427356070
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROGERS
FirstName: SARAH
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 843204
Address2:  
City: DALLAS
State: TX
PostalCode: 752843204
CountryCode: US
TelephoneNumber: 9566324000
FaxNumber: 9569614286
Practice Location
Address1: 301 W EXPRESSWAY 83
Address2:  
City: MCALLEN
State: TX
PostalCode: 785033045
CountryCode: US
TelephoneNumber: 9566324000
FaxNumber: 9569614286
Other Information
ProviderEnumerationDate: 03/07/2011
LastUpdateDate: 08/04/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X690436TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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