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NPI Code Detail

MEDICARE: BEVERLY RODGERS LCSW

MEDICARE:   BEVERLY  RODGERS  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker38897TX

General Provider Information

NPI Number : 1710397088
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY RODGERS LCSW
Provider Business Mailing Address
First Line : 2930 AUBURN FALLS LN
Second Line :
City : HOUSTON
State : TX
Zip : 77084-4268
Country : US
Telephone Number : 281-578-9774
Fax Number :
Provider Business Practice Location Address
First Line : 2930 AUBURN FALLS LN
Second Line :
City : HOUSTON
State : TX
Zip : 77084-4268
Country : US
Telephone Number : 713-206-6018
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2014
Last Update Date : 05/07/2014

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Directions to “ BEVERLY RODGERS LCSW” Practice Location

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