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NPI Code Detail

MEDICARE: ROSEWOOD FAMILY PHYSICIANS I PLLC

MEDICARE: ROSEWOOD FAMILY PHYSICIANS I PLLC
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
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15184732OTHERTXAETNA
20039NTOTHERBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1619901873
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSEWOOD FAMILY PHYSICIANS I PLLC
Provider Business Mailing Address
First Line : 2405 S GESSNER RD
Second Line : SUITE B
City : HOUSTON
State : TX
Zip : 77063-2005
Country : US
Telephone Number : 713-266-7673
Fax Number : 713-266-4744
Provider Business Practice Location Address
First Line : 2405 S GESSNER RD
Second Line : SUITE B
City : HOUSTON
State : TX
Zip : 77063-2005
Country : US
Telephone Number : 713-266-7673
Fax Number : 713-266-4744
Authorized Official
Title or Position : PHYSICIANS
Name : DR. WILLIAM DONALD DAVIS
Credential : M.D.
Telephone Number : 713-266-7673
Provider Enumeration Date : 07/11/2006
Last Update Date : 03/18/2008

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Directions to “ROSEWOOD FAMILY PHYSICIANS I PLLC ” Practice Location

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