Individual
THEODORE ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1977 BUTLER BLVD, HOUSTON, TX 77030-4101
(713) 798-6131
(713) 794-7863
Mailing address
2815 PLUMB ST, HOUSTON, TX 77005-3055
(713) 667-2267
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E7258
TX
207NS0135X
Procedural Dermatology Physician
E7258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123884202
—
TX
Enumeration date
09/16/2006
Last updated
12/28/2023
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