Provider Demographics
NPI:1144403486
Name:ROSADO, ELENITA L (MD)
Entity Type:Individual
Prefix:DR
First Name:ELENITA
Middle Name:L
Last Name:ROSADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELENITA
Other - Middle Name:
Other - Last Name:USHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5323 ANTOINE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-4909
Mailing Address - Country:US
Mailing Address - Phone:713-493-6437
Mailing Address - Fax:844-624-4292
Practice Address - Street 1:5323 ANTOINE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-4909
Practice Address - Country:US
Practice Address - Phone:713-493-6437
Practice Address - Fax:844-624-4292
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4816207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB159838Medicare PIN