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NPI 1790984821

NPI 1790984821 : ROSEWOOD FAMILY PHYSICIANS, PLLC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1790984821
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROSEWOOD FAMILY PHYSICIANS, PLLC 
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Dates
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    Enumeration Date     |    07/18/2007
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    Last Update Date     |    07/18/2007
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Provider Practice Location Address
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    Address Line         |    2405 S GESSNER RD SUITE B
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77063-2005
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    Country              |    US
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    Telephone            |    713-266-7673
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    Fax                  |    713-266-4744
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Provider Business Mailing Address
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    Address Line         |    9000 WESTHEIMER RD SUITE 100
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77063-3618
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    Country              |    US
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    Telephone            |    713-266-7673
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    Fax                  |    713-266-4744
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    MR. MAX CAMILLE BUTLER 
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    Credential           |    M.D.
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    Telephone            |    713-266-7673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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