Provider Demographics
NPI:1437149333
Name:ROTENBERG, JOSHUA S (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:S
Last Name:ROTENBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:902 FROSTWOOD DRIVE SUITE 210
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024
Mailing Address - Country:US
Mailing Address - Phone:713-464-4107
Mailing Address - Fax:713-465-4522
Practice Address - Street 1:902 FROSTWOOD DR STE 210
Practice Address - Street 2:SUITE 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2426
Practice Address - Country:US
Practice Address - Phone:713-464-4107
Practice Address - Fax:713-465-4522
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2016-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM05452080S0012X, 2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1793739-03Medicaid
TX8F22536OtherMEDICARE- HOUSTON
TX8L13369OtherMEDICARE- SAN ANTONIO