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NPI Code Detail

MEDICARE: ROSARY HEALTHCARE SYSTEM INC

MEDICARE: ROSARY HEALTHCARE SYSTEM 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
1101YM0800XMental Health Counselor
2103TB0200XCognitive & Behavioral Psychologist
3103TC1900XCounseling Psychologist
4163WC0400XCase Management Registered Nurse
5163WP0809XAdult Psychiatric/Mental Health Registered Nurse
62084B0040XBehavioral Neurology & Neuropsychiatry Physician
7251B00000XCase Management Agency

General Provider Information

NPI Number : 1558844837
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSARY HEALTHCARE SYSTEM INC
Provider Business Mailing Address
First Line : 16360 PARK TEN PL STE 108
Second Line :
City : HOUSTON
State : TX
Zip : 77084-5047
Country : US
Telephone Number : 281-600-1601
Fax Number : 281-600-1602
Provider Business Practice Location Address
First Line : 16360 PARK TEN PL STE 108
Second Line :
City : HOUSTON
State : TX
Zip : 77084-5047
Country : US
Telephone Number : 281-600-1601
Fax Number : 281-600-1602
Authorized Official
Title or Position : ADMINISTRATOR
Name : ROSALINE IGHORHIRE IGBOKWE
Credential : BSN, MA, BA
Telephone Number : 281-600-1601
Provider Enumeration Date : 09/12/2018
Last Update Date : 09/14/2020

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Directions to “ROSARY HEALTHCARE SYSTEM INC ” Practice Location

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