Organization
MICHAEL J ROSENBLATT MD AND KATHRYN A ZIDEK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J ROSENBLATT MD (OWNER)
(281) 218-8797
Entity
Organization
Contact information
Practice address
110 E MEDICAL CENTER BLVD, WEBSTER, TX 77598-4301
(832) 224-9500
Mailing address
18333 EGRET BAY BLVD STE 140, HOUSTON, TX 77058-3239
(281) 218-8797
(281) 286-7557
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088EZ
BCBS OF TEXAS GROUP ID
TX
05
—
164186201
—
TX
01
—
CH6731
RR MEDICARE
TX
Enumeration date
08/05/2006
Last updated
11/03/2023
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