Rehoboth Medical Center LLC

NPI #1255977583 in Katy, Texas

Provider Information

NPI Number: 1255977583
Entity Type: Organization
Organization Name: Rehoboth Medical Center LLC
Primary Specialty: Pediatrics
Enumeration Date: Nov 21, 2019
Last Updated: Nov 21, 2019

Practice Location

Address: 25231 ROESNER LN
City: Katy
State: Texas
ZIP Code: 77494-5537
Phone: (281) 506-7412

Authorized Official

Name: STELLA GRACE IMMANUEL, MD
Title: MEDICAL DIRECTOR
Phone: (281) 506-7412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X
Pediatrics	208000000X	Primary

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