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 |
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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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