NPI Code Details Logo

NPI 1336287119

NPI 1336287119 : DEBBIE EVANS-ROGERS PT : BEAUMONT, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1336287119
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DEBBIE EVANS-ROGERS PT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/02/2007
-----------------------------------------------------
    Last Update Date     |    09/09/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    655 S 8TH ST 
-----------------------------------------------------
    City                 |    BEAUMONT
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77701-4624
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    409-784-5435
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    838 MAPLEWOOD FALLS CT 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77062-2143
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    281-480-6382
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    1107886
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.