Amber Rogers, Md, Pllc | |
928 Lipscomb St Ste 100 Fort Worth TX 76104-3171 | |
(682) 367-0703 | |
(682) 990-2594 |
Full Name | Amber Rogers, Md, Pllc |
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Speciality | Family Medicine |
Location | 928 Lipscomb St Ste 100, Fort Worth, Texas |
Authorized Official Name and Position | Amber Rachelle Rogers (PHYSICIAN, OWNER) |
Authorized Official Contact | 6823670703 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amber Rogers, Md, Pllc 928 Lipscomb St Ste 100 Fort Worth TX 76104-3171 Ph: (682) 367-0703 | Amber Rogers, Md, Pllc 928 Lipscomb St Ste 100 Fort Worth TX 76104-3171 Ph: (682) 367-0703 |
NPI Number | 1912685371 |
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Provider Enumeration Date | 07/06/2023 |
Last Update Date | 07/06/2023 |
Medicare PECOS PAC ID | 6204280555 |
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Medicare Enrollment ID | O20230920003913 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912685371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Amber R Rogers |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326483686 PECOS PAC ID: 9638463060 Enrollment ID: I20160809000315 |
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