MR. GARY RODGERS ATP NPI 1639460462

NPI Information

  • NPI: 1639460462
  • Provider Name: MR. GARY RODGERS, ATP
  • Classification: Technician, Other - 247200000X
  • Entity Type: Individual
  • Address: 2100 N HIGHWAY 360
    SUITE 1802
    GRAND PRAIRIE, TX
    ZIP 75050
  • Phone: (972) 647-8567

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NPI Details

MR. Gary Rodgers, ATP is a technician other in Grand Prairie, TX. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. MR. Gary Rodgers, ATP NPI is 1639460462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2100 N HIGHWAY 360
SUITE 1802
GRAND PRAIRIE, TX
ZIP 75050-011
Phone: (972) 647-8567
Fax: (972) 660-4548

The enumeration date for this NPI number is 4/27/2011 and was last updated on 4/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1247200000XTechnician, OtherYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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