Provider Demographics
NPI:1275746604
Name:DY, ROCHELLE COLEEN T (MD)
Entity Type:Individual
Prefix:DR
First Name:ROCHELLE COLEEN
Middle Name:T
Last Name:DY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6621 FANNIN ST
Mailing Address - Street 2:WEST TOWER 21ST FLR. RM 329
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2303
Mailing Address - Country:US
Mailing Address - Phone:832-826-6105
Mailing Address - Fax:832-826-5242
Practice Address - Street 1:6621 FANNIN ST
Practice Address - Street 2:WEST TOWER 21ST FLR. RM 329
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2303
Practice Address - Country:US
Practice Address - Phone:832-826-6105
Practice Address - Fax:832-826-5242
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN36252081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
8L17532Medicare PIN