Individual
JOE EARLVIN ROGERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4718 HALLMARK DR, HOUSTON, TX 77056-3909
(713) 622-6633
Mailing address
14115 BRIDGEPORT RD, HOUSTON, TX 77047-5024
(713) 876-3931
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2108177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
06/01/2018
Last updated
06/01/2018
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