Most Relevant Information
Provider Data
| NPI Number: | 1003340803 |
| Provider Name: | ALICIA ROGERS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/18/2017 |
| Last Updated: | 04/18/2017 |
Provider Practice Location
4502 MIMOSA DR
BELLAIRE
TX
774015814
Practice Location Phone/Fax
| Phone: | 8324058969 |
| Fax: |
Provider Mailing Location
4502 MIMOSA DR
BELLAIRE
TX
774015814
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |