Provider Demographics
NPI:1184838427
Name:RICHARD H. ROLNICK, MD, PA
Entity Type:Organization
Organization Name:RICHARD H. ROLNICK, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:ROLNICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-744-2000
Mailing Address - Street 1:PO BOX 710330
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77271-0330
Mailing Address - Country:US
Mailing Address - Phone:713-744-2000
Mailing Address - Fax:713-744-2001
Practice Address - Street 1:10910 S GESSNER RD
Practice Address - Street 2:BOX 710330
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-3504
Practice Address - Country:US
Practice Address - Phone:713-744-2000
Practice Address - Fax:713-744-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB25998Medicare UPIN