Provider Demographics
NPI:1528229796
Name:SEPLOWITZ, RHODA GAIL (MD)
Entity Type:Individual
Prefix:DR
First Name:RHODA
Middle Name:GAIL
Last Name:SEPLOWITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4545 BISSONNET #265
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401
Mailing Address - Country:US
Mailing Address - Phone:713-432-0200
Mailing Address - Fax:713-432-0215
Practice Address - Street 1:4545 BISSONNET SUITE 265
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401
Practice Address - Country:US
Practice Address - Phone:713-432-0200
Practice Address - Fax:713-432-0215
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM96442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L2460Medicare PIN