Provider Demographics
NPI:1154645679
Name:RODGERS, BRIAN CRAIG (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:CRAIG
Last Name:RODGERS
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:7777 FOREST LN STE A103
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-6800
Mailing Address - Country:US
Mailing Address - Phone:972-566-7600
Mailing Address - Fax:972-566-6560
Practice Address - Street 1:7777 FOREST LN STE A103
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-6800
Practice Address - Country:US
Practice Address - Phone:972-566-7600
Practice Address - Fax:972-566-6560
Is Sole Proprietor?:No
Enumeration Date:2010-03-26
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR0943207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology