MEDICARE: P RONEN MD PA

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	207V00000X	Obstetrics & Gynecology Physician	K3840	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0092QC	OTHER	TX	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508053810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P RONEN MD PA

Provider Business Mailing Address
First Line	:	10565 KATY FWY STE 350
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1018
Country	:	US
Telephone Number	:	713-722-7776
Fax Number	:	713-465-9718

Provider Business Practice Location Address
First Line	:	10565 KATY FWY STE 350
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1018
Country	:	US
Telephone Number	:	713-722-7776
Fax Number	:	713-465-9718

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. P F RONEN
Credential	:	MD
Telephone Number	:	713-722-7776

Provider Enumeration Date	:	10/01/2007
Last Update Date	:	01/16/2012

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Directions to “P RONEN MD PA ” Practice Location

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