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NPI Code Detail

MEDICARE: CHLOE ROGERS

MEDICARE: CHLOE ROGERS
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
1106S00000XBehavior Technician17-44330TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
117-44330OTHERTXBACB

General Provider Information

NPI Number : 1952961922
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHLOE ROGERS
Provider Business Mailing Address
First Line : 3552 FM 1092 RD
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-2203
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3552 FM 1092 RD
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-2203
Country : US
Telephone Number : 346-368-4421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2019
Last Update Date : 06/20/2019

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Directions to “ CHLOE ROGERS ” Practice Location

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