Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 2 3234 | TX |
N | 103TC0700X | Clinical Psychologist | 2 3234 | TX |
Y | 102L00000X | Psychologist | 2 3234 | TX |
Y | 103T00000X | Psychologist | 2 3234 | TX |
NPI | 1003919119 |
---|---|
Provider Name | Dr. Rowland W Folensbee JR. |
First Address | Bellaire, TX 77401-3504 |
Second Address | Bellaire, TX 77401-3504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 10/07/2007 |