Provider Demographics
NPI:1225709553
Name:CAVALIER, ROSA COLLINS (APRN)
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:COLLINS
Last Name:CAVALIER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20823 WINDY BRIAR LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-8492
Mailing Address - Country:US
Mailing Address - Phone:985-856-5061
Mailing Address - Fax:
Practice Address - Street 1:1631 NORTH LOOP W STE 610
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1552
Practice Address - Country:US
Practice Address - Phone:713-486-0800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1055496363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care