Provider Demographics
NPI:1679057608
Name:ROSENFIELD & WENRICH, PLLC
Entity Type:Organization
Organization Name:ROSENFIELD & WENRICH, PLLC
Other - Org Name:SPINAL DIAGNOSTICS AND INTERVENTIONAL PAIN MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-597-7278
Mailing Address - Street 1:114 CR 3138
Mailing Address - Street 2:
Mailing Address - City:QUITMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75783-5675
Mailing Address - Country:US
Mailing Address - Phone:883-724-6725
Mailing Address - Fax:903-405-1524
Practice Address - Street 1:6115 NEW COPELAND ROAD
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-6360
Practice Address - Country:US
Practice Address - Phone:833-724-6725
Practice Address - Fax:903-405-1524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-15
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty