Provider Demographics
NPI:1053292300
Name:ROGERS HOME MEDICAL
Entity type:Organization
Organization Name:ROGERS HOME MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DEVELOPMENT MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILSON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-576-6599
Mailing Address - Street 1:4404 N LAURENT ST STE B
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-2742
Mailing Address - Country:US
Mailing Address - Phone:361-576-6599
Mailing Address - Fax:361-576-6599
Practice Address - Street 1:PO BOX 3670
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77903-3670
Practice Address - Country:US
Practice Address - Phone:361-576-6599
Practice Address - Fax:361-578-3521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty