Healthcare Provider Details

I. General information

NPI: 1497765606
Provider Name (Legal Business Name): RABIN GREENBERG DERMATOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 11/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7515 MAIN ST SUITE 770
HOUSTON TX
77030-4537
US

IV. Provider business mailing address

7515 MAIN ST SUITE 770
HOUSTON TX
77030-4537
US

V. Phone/Fax

Practice location:
  • Phone: 713-797-6171
  • Fax: 713-797-6669
Mailing address:
  • Phone: 713-797-6171
  • Fax: 713-797-6669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: CINDY A GREENBERG
Title or Position: OWNER
Credential: MD
Phone: 713-797-6171