Provider Demographics
NPI:1376250886
Name:ROGERS, AUNDRIA LASHAYE
Entity Type:Individual
Prefix:
First Name:AUNDRIA
Middle Name:LASHAYE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14515 BRIAR FOREST DR APT 324
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2072
Mailing Address - Country:US
Mailing Address - Phone:832-647-5997
Mailing Address - Fax:
Practice Address - Street 1:350 N SAM HOUSTON PKWY E STE 120
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3320
Practice Address - Country:US
Practice Address - Phone:832-647-5997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator