Provider Demographics
NPI:1821098112
Name:RONEN, PINKY FRANK (MD, PA)
Entity Type:Individual
Prefix:
First Name:PINKY
Middle Name:FRANK
Last Name:RONEN
Suffix:
Gender:M
Credentials:MD, PA
Other - Prefix:
Other - First Name:PINKY
Other - Middle Name:
Other - Last Name:RONEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4910 N BRAESWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-2708
Mailing Address - Country:US
Mailing Address - Phone:713-722-7776
Mailing Address - Fax:713-490-1996
Practice Address - Street 1:950 THREADNEEDLE ST
Practice Address - Street 2:STE 282
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2526
Practice Address - Country:US
Practice Address - Phone:713-464-4444
Practice Address - Fax:713-465-9718
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3840174400000X, 207VX0000X, 207VG0400X, 207VM0101X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No174400000XOther Service ProvidersSpecialist
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113616004Medicaid
TX8AM950OtherBLUE CROSS
TX861152793OtherTAX ID#
G69366Medicare UPIN
TX861152793OtherTAX ID#