Provider Demographics
NPI:1215972559
Name:EMERSON, ROGER HILL (MD)
Entity type:Individual
Prefix:DR
First Name:ROGER
Middle Name:HILL
Last Name:EMERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6020 W PARKER RD
Mailing Address - Street 2:STE 470
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8171
Mailing Address - Country:US
Mailing Address - Phone:972-608-8868
Mailing Address - Fax:972-608-0366
Practice Address - Street 1:6020 W PARKER RD
Practice Address - Street 2:STE 470
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8171
Practice Address - Country:US
Practice Address - Phone:972-608-8868
Practice Address - Fax:972-608-0366
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1077207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089865202Medicaid
TX089865203Medicaid
TX089865205Medicaid
TX089865204Medicaid
TX089865205Medicaid
TX089865202Medicaid
TXTXB127661Medicare PIN
TX089865204Medicaid
TXTXB127663Medicare PIN