Provider Demographics
NPI:1053153262
Name:ROGERS, CHRIS J
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:J
Last Name:ROGERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7171 HIGHWAY 6 N STE 211
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-5622
Mailing Address - Country:US
Mailing Address - Phone:773-930-8587
Mailing Address - Fax:
Practice Address - Street 1:7171 HIGHWAY 6 N STE 211
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5622
Practice Address - Country:US
Practice Address - Phone:512-573-8275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator