MEDICARE: DR. JASON ROGERS MD

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
1	207P00000X	Emergency Medicine Physician	M2778	TX

General Provider Information

NPI Number	:	1689692089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON ROGERS MD

Provider Business Mailing Address
First Line	:	2601 WESTHEIMER RD
Second Line	:	APT.# C702
City	:	HOUSTON
State	:	TX
Zip	:	77098-1662
Country	:	US
Telephone Number	:	773-263-5687
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 WESTHEIMER RD
Second Line	:	APT.# C702
City	:	HOUSTON
State	:	TX
Zip	:	77098-1662
Country	:	US
Telephone Number	:	773-263-5687
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	10/17/2011

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