Organization
THE ROSE
Active
Other names
THE ROSE JOAN GORDON
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DUCKWORTH (COO)
(281) 464-5160
Entity
Organization
Contact information
Practice address
12700 N FEATHERWOOD DR, SUITE 260, HOUSTON, TX 77034-4439
(281) 484-4708
Mailing address
12700 N FEATHERWOOD DR, SUITE 260, HOUSTON, TX 77034-4439
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020040002
RAIL ROAD MEDICARE
TX
05
—
084650301
—
TX
05
—
1591620-01
—
TX
Enumeration date
08/22/2005
Last updated
03/05/2025
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