Individual
KEVIN PAUL ROSENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
4800 FOURNACE PL STE BE13, BELLAIRE, TX 77401-2324
(713) 542-8592
Mailing address
4800 FOURNACE PL STE BE13, BELLAIRE, TX 77401-2324
(713) 542-8592
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
L8178
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321660YV9V
MEDICARE
TX
05
—
7100593530
—
KY
Enumeration date
03/18/2006
Last updated
01/14/2021
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