Provider Demographics
NPI:1659308716
Name:ROHREN, ERIC M (MD, PHD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:M
Last Name:ROHREN
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:1515 HOLCOMBE BLVD
Mailing Address - Street 2:UNIT 1483
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4000
Mailing Address - Country:US
Mailing Address - Phone:713-792-6345
Mailing Address - Fax:713-563-3694
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:UNIT 1483
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4000
Practice Address - Country:US
Practice Address - Phone:713-792-6345
Practice Address - Fax:713-563-3694
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2020-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN11102085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H58019Medicare UPIN