Provider Demographics
NPI:1225907470
Name:ROGERS, RA'VEANN K
Entity type:Individual
Prefix:
First Name:RA'VEANN
Middle Name:K
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 1:1154 W BROMPTON DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2202
Mailing Address - Country:US
Mailing Address - Phone:832-310-5303
Mailing Address - Fax:
Practice Address - Street 1:1154 W BROMPTON DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2202
Practice Address - Country:US
Practice Address - Phone:832-310-5303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty