Provider Demographics
NPI:1851941611
Name:ROSENBAUM, CINTIA (AGACNP)
Entity Type:Individual
Prefix:
First Name:CINTIA
Middle Name:
Last Name:ROSENBAUM
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 ROYAL LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-9831
Mailing Address - Country:US
Mailing Address - Phone:713-898-9067
Mailing Address - Fax:
Practice Address - Street 1:6550 FANNIN ST STE 1401
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2738
Practice Address - Country:US
Practice Address - Phone:713-441-6290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142854363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care