DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROGER L NOTTINGHAM JR., PA-C

Active Sole Proprietor

MR. ROGER L NOTTINGHAM JR., PA-C is a Physician Assistant healthcare provider located in AUSTIN, Texas. NPI 1164211041 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · AUSTIN, TX

Registration Details

NPI Number
1164211041
Provider Type
Individual
Gender
Male
NPI Issued
May 6, 2025 (1.2662303033633 yrs)
Last Updated
Sep 24, 2025
License
PA19342 (TX)
Sole Proprietor
Yes

Practice Information

Address
11521 N FM 620 RD STE 945
AUSTIN, TX, 787261115
Browse TX providers · Browse ZIP 78726
Phone
5123182559
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in AUSTIN, TX

Name Credential NPI
COURTNEY S KYLE PA-C 1033112511
MRS. THERESA BIEDENBACH P.A. 1649270604
MR. THOMAS VAN HORN P.A. 1851392724
PHILIP A WEBER PA 1124029475
MR. JOHN FOSTER KASEL PA-C 1477555290
MR. HAROLD B ESKEW III PA 1659366805
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.