Individual
ALICE ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6431 FANNIN ST., SUITE MSB5.111, HOUSTON, TX 77030-5389
(713) 500-6325
(713) 500-0706
Mailing address
6431 FANNIN ST, SUITE MSB 5.111, HOUSTON, TX 77030-5389
(713) 500-6325
(713) 500-0706
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29505-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063644D6X
—
PA
Enumeration date
03/09/2006
Last updated
04/29/2019
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