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Individual

DR. WALTER M. ROSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3103 FM 1960 RD W, SUITE V, HUMBLE, TX 77338-3371
(281) 443-0340
(281) 443-0350
Mailing address
3103 FM 1960 RD W, SUITE V, HUMBLE, TX 77338-3371
(281) 443-0340
(281) 443-0350

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
1827TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
93202201
TX
Enumeration date
12/02/2006
Last updated
07/08/2007
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