Provider Demographics
NPI:1548315609
Name:ROGERS, KATHRYN BILES (MA, CCC-A)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:BILES
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PINE FOREST DR STE 603
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-5304
Mailing Address - Country:US
Mailing Address - Phone:936-271-3366
Mailing Address - Fax:936-271-3383
Practice Address - Street 1:150 PINE FOREST DR STE 603
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384
Practice Address - Country:US
Practice Address - Phone:936-271-3366
Practice Address - Fax:936-271-3383
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50317231H00000X, 231HA2500X, 237700000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1127912-03Medicaid
TX515965 & 519890Medicare ID - Type UnspecifiedAUDIOLOGY & HEARING AIDS