Individual
AVIVA TZIPORAH ROGOZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4550 N BRAESWOOD BLVD APT 331, HOUSTON, TX 77096-2883
(216) 401-9574
Mailing address
4550 N BRAESWOOD BLVD APT 331, HOUSTON, TX 77096-2883
(216) 401-9574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13409
PHYSICIAN ASSISTANT LICENSE
TX
Enumeration date
07/31/2020
Last updated
07/31/2020
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