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NPI Code Detail

MEDICARE: ROSEWOOD FAMILY PHYSICIANS, PLLC

MEDICARE: ROSEWOOD FAMILY PHYSICIANS, 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

General Provider Information

NPI Number : 1790984821
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSEWOOD FAMILY PHYSICIANS, PLLC
Provider Business Mailing Address
First Line : 9000 WESTHEIMER RD
Second Line : SUITE 100
City : HOUSTON
State : TX
Zip : 77063-3618
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 : PHYSICIAN
Name : MR. MAX CAMILLE BUTLER
Credential : M.D.
Telephone Number : 713-266-7673
Provider Enumeration Date : 07/18/2007
Last Update Date : 07/18/2007

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Directions to “ROSEWOOD FAMILY PHYSICIANS, PLLC ” Practice Location

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