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Individual

ALEJANDRO LEON ROSAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 458-4185
Mailing address
2411 FOUNTAIN VIEW DR STE 200, HOUSTON, TX 77057-4832
(713) 620-4000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G4390
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1976121
LA - MEDICAID
LA
01
8021J1
OUT HARRIS - MEDICARE
TX
01
84Y577
IN HARRIS - MEDICARE
TX
01
84Y577
TX-BLUE SHIELD
Enumeration date
01/16/2007
Last updated
10/24/2007
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