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NPI Code Detail

MEDICARE: CLARA SLODOWNIK ROSENZWEIG M.ED., L.P.C.

MEDICARE: CLARA SLODOWNIK ROSENZWEIG M.ED., L.P.C.
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
1101YP2500XProfessional Counselor63312TX

General Provider Information

NPI Number : 1528249059
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARA SLODOWNIK ROSENZWEIG M.ED., L.P.C.
Provider Business Mailing Address
First Line : 424 HAHLO ST
Second Line :
City : HOUSTON
State : TX
Zip : 77020-3022
Country : US
Telephone Number : 713-343-5508
Fax Number : 713-343-5473
Provider Business Practice Location Address
First Line : 424 HAHLO ST
Second Line :
City : HOUSTON
State : TX
Zip : 77020-3022
Country : US
Telephone Number : 713-343-5508
Fax Number : 713-343-5473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2007
Last Update Date : 06/03/2009

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