MR. Roger L Nottingham JR., PA-C

NPI #1164211041 in Austin, Texas

Provider Information

NPI Number: 1164211041
Entity Type: Individual
Name: MR. Roger L Nottingham JR., PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 6, 2025
Last Updated: Sep 24, 2025

Practice Location

Address: 11521 N FM 620 RD STE 945
City: Austin
State: Texas
ZIP Code: 78726-1115
Phone: (512) 318-2559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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