Rosen, Theodore

Rosen, Theodore is an individual health care provider with primary practice located at 1977 Butler Blvd , Houston TX 77030-4101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Rosen, Theodore can be contacted via phone (713) 798-6131.

Contact Information

Primary practice address
1977 Butler Blvd Houston TX 77030-4101
Fax: (713) 794-7863
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X E7258 Texas
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X E7258 Texas

Profile Details

NPI number 1881790749
LBN Legal business name Rosen, Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Dec 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881790749 NPPES
Texas MEDICAID 123884202

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