Provider Demographics
NPI:1942966320
Name:ROSENSTRAUCH, DOREEN (MD,PHD,MPA,RN,FACHE)
Entity Type:Individual
Prefix:DR
First Name:DOREEN
Middle Name:
Last Name:ROSENSTRAUCH
Suffix:
Gender:F
Credentials:MD,PHD,MPA,RN,FACHE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DRDOROINSTITUTE AT 8000 RESEARCH FOREST DRIVE
Mailing Address - Street 2:SUITE 115 PMB 127
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77382
Mailing Address - Country:US
Mailing Address - Phone:251-237-3676
Mailing Address - Fax:
Practice Address - Street 1:3014 CLIFFDALE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091
Practice Address - Country:US
Practice Address - Phone:251-237-3676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X, 251E00000X, 251K00000X, 261QP2300X, 171400000X
TX800552251J00000X, 261Q00000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No174H00000XOther Service ProvidersHealth Educator
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Yes171400000XOther Service ProvidersHealth & Wellness Coach