Individual
MICHAEL ROTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2415 SAN FELIPE ST UNIT 3, HOUSTON, TX 77019-2509
(409) 225-1458
(409) 724-0371
Mailing address
PO BOX 23238, BEAUMONT, TX 77720-3238
(409) 225-1458
(409) 724-0371
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H9416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1148405 01
—
TX
Enumeration date
12/30/2005
Last updated
09/12/2022
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