Provider Demographics
NPI:1548755093
Name:G. MARTIN ROSSI, M.D, P.A.
Entity Type:Organization
Organization Name:G. MARTIN ROSSI, M.D, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:AVILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-461-6262
Mailing Address - Street 1:915 GESSNER RD STE 550
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2571
Mailing Address - Country:US
Mailing Address - Phone:713-461-6262
Mailing Address - Fax:713-461-5111
Practice Address - Street 1:915 GESSNER RD STE 550
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2571
Practice Address - Country:US
Practice Address - Phone:713-461-6262
Practice Address - Fax:713-461-5111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH11992084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty