Provider Demographics
NPI:1649446204
Name:ROSALES, MARGUERITE MIRANNE (MD)
Entity type:Individual
Prefix:DR
First Name:MARGUERITE
Middle Name:MIRANNE
Last Name:ROSALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGUERITE
Other - Middle Name:FRANCES MIRANNE
Other - Last Name:ROSALES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6416 WESTCHESTER ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-3762
Mailing Address - Country:US
Mailing Address - Phone:713-838-0224
Mailing Address - Fax:713-838-0227
Practice Address - Street 1:6416 WESTCHESTER ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-3762
Practice Address - Country:US
Practice Address - Phone:713-838-0224
Practice Address - Fax:713-838-0227
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9385207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology