NPI 1104852888

Randall W Rodgers, DO

Practitioner Interventional Pain Medicine Physician Tyler, TX

Practice location

Address: 13027 State Highway 155 S, Tyler, TX 75703-6560
Phone: (903) 839-1000
Fax: (903) 839-4000

Registered specialties (2)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence G0020 (TX)

Other Pain Medicine providers in Texas →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence G0020 (TX)

Other Family Medicine providers in Texas →

Registry record

NPI: 1104852888
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2006
Record last updated: 30 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.