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NPI Code Detail

MEDICARE: DR. VALERIE CYRENE ROSEN M. D.

MEDICARE: DR. VALERIE CYRENE ROSEN M. D.
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
12084P0800XPsychiatry PhysicianP8183TX

General Provider Information

NPI Number : 1407883580
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VALERIE CYRENE ROSEN M. D.
Provider Business Mailing Address
First Line : 3501 MILLS AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78731-6309
Country : US
Telephone Number : 512-324-3380
Fax Number :
Provider Business Practice Location Address
First Line : 3501 MILLS AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78731-6309
Country : US
Telephone Number : 512-324-3380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 03/03/2015

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