MEDICARE: DR. MONIQUE ROCHELLE GITTENS M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	T8823	TX

General Provider Information

NPI Number	:	1063855922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONIQUE ROCHELLE GITTENS M.D

Provider Business Mailing Address
First Line	:	1300 MAIN ST
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-3348
Country	:	US
Telephone Number	:	281-341-9696
Fax Number	:	281-341-6218

Provider Business Practice Location Address
First Line	:	1300 MAIN ST
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-3348
Country	:	US
Telephone Number	:	281-341-9696
Fax Number	:	281-341-6218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2013
Last Update Date	:	01/21/2026

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