MEDICARE: ROBERT T ROSEN 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	208800000X	Urology Physician	D8068	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770752677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT T ROSEN MD PA

Provider Business Mailing Address
First Line	:	24042 HIGHWAY 59 N
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-1500
Country	:	US
Telephone Number	:	281-359-5454
Fax Number	:	281-359-5415

Provider Business Practice Location Address
First Line	:	24042 HIGHWAY 59 N
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-1500
Country	:	US
Telephone Number	:	281-359-5454
Fax Number	:	281-359-5415

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	ANGELA NASON
Credential	:
Telephone Number	:	281-359-5055

Provider Enumeration Date	:	02/25/2008
Last Update Date	:	11/06/2008

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Directions to “ROBERT T ROSEN MD PA ” Practice Location

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