Provider Demographics
NPI:1790984821
Name:ROSEWOOD FAMILY PHYSICIANS, PLLC
Entity Type:Organization
Organization Name:ROSEWOOD FAMILY PHYSICIANS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:MAX
Authorized Official - Middle Name:CAMILLE
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-266-7673
Mailing Address - Street 1:9000 WESTHEIMER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3618
Mailing Address - Country:US
Mailing Address - Phone:713-266-7673
Mailing Address - Fax:713-266-4744
Practice Address - Street 1:2405 S GESSNER RD
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2005
Practice Address - Country:US
Practice Address - Phone:713-266-7673
Practice Address - Fax:713-266-4744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U10QMedicare PIN