MEDICARE: MS. ROSE TOON

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	246RM2200X	Medical Laboratory Technician

General Provider Information

NPI Number	:	1033228127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSE TOON

Provider Business Mailing Address
First Line	:	2002 HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4211
Country	:	US
Telephone Number	:	713-794-7324
Fax Number	:

Provider Business Practice Location Address
First Line	:	2718 BARBEE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-5367
Country	:	US
Telephone Number	:	712-529-5107
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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Directions to “ MS. ROSE TOON ” Practice Location

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