Individual
AUDREY ROSA NATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1005 HARBORSIDE DR 6TH FLOOR, GALVESTON, TX 77555-2358
(832) 505-2450
(409) 747-0777
Mailing address
PO BOX 650859 DEPT 710, DALLAS, TX 75265-4021
(409) 772-8053
(409) 772-1084
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
R9405
TX
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
R9405
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
R9405
TX
Other
Enumeration date
04/27/2012
Last updated
02/14/2025
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