Provider Demographics
NPI:1962606749
Name:ROJAS, VIRGINIA SAUER (MA)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:SAUER
Last Name:ROJAS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:IRENE
Other - Last Name:SAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:6803 MONTAGUE DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-5049
Mailing Address - Country:US
Mailing Address - Phone:806-352-1144
Mailing Address - Fax:806-356-7265
Practice Address - Street 1:2703 10TH AVE
Practice Address - Street 2:
Practice Address - City:CANYON
Practice Address - State:TX
Practice Address - Zip Code:79015-5407
Practice Address - Country:US
Practice Address - Phone:806-681-7567
Practice Address - Fax:806-356-7265
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16864101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional