Provider Demographics
NPI:1265037550
Name:ROZENBERG, GALINA
Entity Type:Individual
Prefix:MRS
First Name:GALINA
Middle Name:
Last Name:ROZENBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33300 EGYPT LN STE F200
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-2741
Mailing Address - Country:US
Mailing Address - Phone:281-409-2522
Mailing Address - Fax:
Practice Address - Street 1:33300 EGYPT LN STE F200
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-2741
Practice Address - Country:US
Practice Address - Phone:281-409-2522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory