Provider Demographics
NPI:1306384177
Name:ALPESH D. DESAI, D.O. P.A.
Entity Type:Organization
Organization Name:ALPESH D. DESAI, D.O. P.A.
Other - Org Name:ROSENBERG DERMATOLOGY AND AESTHETICS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALPESH
Authorized Official - Middle Name:DILIP
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:713-864-2659
Mailing Address - Street 1:2120 ASHLAND ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-2418
Mailing Address - Country:US
Mailing Address - Phone:713-864-2659
Mailing Address - Fax:214-704-9959
Practice Address - Street 1:5219 READING RD
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-5758
Practice Address - Country:US
Practice Address - Phone:713-730-2000
Practice Address - Fax:281-232-7579
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALPESH D. DESAI, D.O. P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1072174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty