Individual
RONY DEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
L8668
TX
208VP0014X
Interventional Pain Medicine Physician
L8668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166041702
—
TX
01
—
8X2671
BCBS
TX
01
—
P00622294
RR MEDICARE
TX
Enumeration date
03/16/2006
Last updated
12/12/2022
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