MEDICARE: SARA ROZIN

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	146N00000X	Basic Emergency Medical Technician	1000341	TX

General Provider Information

NPI Number	:	1134456726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA ROZIN

Provider Business Mailing Address
First Line	:	6218 ROLLINGBROOK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-5629
Country	:	US
Telephone Number	:	832-452-1592
Fax Number	:

Provider Business Practice Location Address
First Line	:	6218 ROLLINGBROOK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096
Country	:	US
Telephone Number	:	832-452-1592
Fax Number	:

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

Provider Enumeration Date	:	11/03/2009
Last Update Date	:	11/03/2009

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Directions to “ SARA ROZIN ” Practice Location

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