MEDICARE: ROSINE FAMILY CARE, INC.

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1376783688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSINE FAMILY CARE, INC.

Provider Business Mailing Address
First Line	:	1302 WAUGH DR
Second Line	:	SUITE 941
City	:	HOUSTON
State	:	TX
Zip	:	77019-3908
Country	:	US
Telephone Number	:	832-316-0139
Fax Number	:

Provider Business Practice Location Address
First Line	:	1302 WAUGH DR
Second Line	:	SUITE 941
City	:	HOUSTON
State	:	TX
Zip	:	77019-3908
Country	:	US
Telephone Number	:	832-316-0139
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIBEL V DRIGGS
Credential	:
Telephone Number	:	832-316-0139

Provider Enumeration Date	:	02/26/2009
Last Update Date	:	09/21/2009

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