| Rosenberg Family Clinic | |
|
3612 Avenue H Suite 120 Rosenberg TX 77471 | |
| (346) 467-2005 | |
| (281) 762-0373 |
| Full Name | Rosenberg Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3612 Avenue H, Rosenberg, Texas |
| Authorized Official Name and Position | Damari Duarte Rodriguez (FNP) |
| Authorized Official Contact | 3464672005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosenberg Family Clinic 3612 Avenue H Suite 120 Rosenberg TX 77471 | Rosenberg Family Clinic 3612 Avenue H Suite 120 Rosenberg TX 77471 Ph: (346) 467-2005 |
| NPI Number | 1275363830 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Medicare PECOS PAC ID | 2062945421 |
|---|---|
| Medicare Enrollment ID | O20241024001197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275363830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Damari Duarte Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194236679 PECOS PAC ID: 1850636812 Enrollment ID: I20190116002968 |
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