Individual
DR. JUAN CARLOS ROZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17189 INTERSTATE 45 S STE 475, SHENANDOAH, TX 77385-3320
(936) 270-3933
(713) 795-5134
Mailing address
17189 I H 45 S STE 475, SHENANDOAH, TX 77385-3320
(936) 270-3933
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L7868
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164028602
—
TX
05
—
164028604
—
TX
Enumeration date
09/20/2005
Last updated
03/09/2020
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