Provider Demographics
NPI:1013273101
Name:BERNARD ROSENFELD MD. PA
Entity type:Organization
Organization Name:BERNARD ROSENFELD MD. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-790-0099
Mailing Address - Street 1:7400 FANNIN ST
Mailing Address - Street 2:STE 910
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1920
Mailing Address - Country:US
Mailing Address - Phone:713-790-0099
Mailing Address - Fax:713-790-0527
Practice Address - Street 1:7400 FANNIN ST
Practice Address - Street 2:STE 910
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1920
Practice Address - Country:US
Practice Address - Phone:713-790-0099
Practice Address - Fax:713-790-0527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-03
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7687207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1236200Medicaid
TX1236200Medicaid
TX00MJ94Medicare PIN