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Individual

DR. JOSHUA S ROTENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
902 FROSTWOOD DR STE 210, SUITE 210, HOUSTON, TX 77024-2426
(713) 464-4107
(713) 465-4522
Mailing address
902 FROSTWOOD DRIVE SUITE 210, SUITE 210, HOUSTON, TX 77024
(713) 464-4107
(713) 465-4522

Taxonomy

Speciality
Code
Description
License number
State
2080S0012X
Pediatric Sleep Medicine Physician
M0545
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
M0545
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1793739-03
TX
01
8F22536
MEDICARE- HOUSTON
TX
01
8L13369
MEDICARE- SAN ANTONIO
TX
Enumeration date
10/24/2005
Last updated
12/16/2016
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