Provider Demographics
NPI:1376783688
Name:ROSINE FAMILY CARE, INC.
Entity Type:Organization
Organization Name:ROSINE FAMILY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:V
Authorized Official - Last Name:DRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-316-0139
Mailing Address - Street 1:1302 WAUGH DR
Mailing Address - Street 2:SUITE 941
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-3908
Mailing Address - Country:US
Mailing Address - Phone:832-316-0139
Mailing Address - Fax:
Practice Address - Street 1:1302 WAUGH DR
Practice Address - Street 2:SUITE 941
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-3908
Practice Address - Country:US
Practice Address - Phone:832-316-0139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG28599Medicare UPIN
TXC20683Medicare UPIN