Provider Demographics
NPI:1134123169
Name:FOGIEL, BARBARA ROSE (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ROSE
Last Name:FOGIEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 GESSNER RD
Mailing Address - Street 2:STE 800
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2531
Mailing Address - Country:US
Mailing Address - Phone:713-465-5966
Mailing Address - Fax:713-490-1996
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:STE 800
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2531
Practice Address - Country:US
Practice Address - Phone:713-465-5966
Practice Address - Fax:713-490-1996
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5334207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165277801Medicaid
TX165277801Medicaid
I05700Medicare UPIN