=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407483688
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DANIEL SLOAN ROSPERT MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2020
-----------------------------------------------------
Last Update Date | 10/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 560 BLOSSOM ST STE C
-----------------------------------------------------
City | WEBSTER
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77598-4237
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-905-6141
-----------------------------------------------------
Fax | 832-200-3259
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 560 BLOSSOM ST STE C
-----------------------------------------------------
City | WEBSTER
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77598-4237
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-905-6141
-----------------------------------------------------
Fax | 832-200-3259
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RN0300X
-----------------------------------------------------
Taxonomy Name | Nephrology Physician
-----------------------------------------------------
License Number | V7636
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------