Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | F7687 | TX |
NPI | 1023016706 |
---|---|
Provider Name | Dr. Bernard L. Rosenfeld |
First Address | Houston, TX 77054-1920 |
Second Address | Houston, TX 77054-1920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 06/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
123620003 | (05) | TX |
C21312 | (02) | TX |