| Gary H Rosen Md Pa | |
|
4117 Pasadena Blvd Pasadena TX 77503-3534 | |
| (281) 476-9229 | |
| (281) 476-1913 |
| Full Name | Gary H Rosen Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4117 Pasadena Blvd, Pasadena, Texas |
| Authorized Official Name and Position | Gary Howard Rosen (PRESIDENT) |
| Authorized Official Contact | 2814769229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary H Rosen Md Pa 4117 Pasadena Blvd Pasadena TX 77503-3534 Ph: (281) 476-9229 | Gary H Rosen Md Pa 4117 Pasadena Blvd Pasadena TX 77503-3534 Ph: (281) 476-9229 |
| NPI Number | 1619266988 |
|---|---|
| Provider Enumeration Date | 04/07/2011 |
| Last Update Date | 10/26/2011 |
| Medicare PECOS PAC ID | 0749451888 |
|---|---|
| Medicare Enrollment ID | O20110921000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619266988 | NPI | - | NPPES |
| P00CE579 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-7726 (Texas) | Primary |
| Provider Name | Gary H Rosen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609984772 PECOS PAC ID: 1759553589 Enrollment ID: I20111020000299 |
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