MEDICARE: ANDREA K ROCKETT DPM

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	213E00000X	Podiatrist	1392	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013900091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA K ROCKETT DPM

Provider Business Mailing Address
First Line	:	1234 BAY AREA BLVD
Second Line	:	SUITE G
City	:	HOUSTON
State	:	TX
Zip	:	77058-2538
Country	:	US
Telephone Number	:	281-488-3237
Fax Number	:	281-488-4218

Provider Business Practice Location Address
First Line	:	1234 BAY AREA BLVD
Second Line	:	SUITE G
City	:	HOUSTON
State	:	TX
Zip	:	77058-2538
Country	:	US
Telephone Number	:	281-488-3237
Fax Number	:	281-488-4218

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

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	02/29/2012

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Directions to “ ANDREA K ROCKETT DPM” Practice Location

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