Individual
KIMBERLY IDA KURTIN ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
13105 WORTHAM CENTER DR, HOUSTON, TX 77065-5611
(713) 442-4000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9441T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405713501
—
TX
05
—
405713502
—
TX
05
—
405713503
—
TX
Enumeration date
12/10/2018
Last updated
06/15/2021
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