Provider Demographics
NPI:1528829165
Name:ROST, ROY
Entity type:Individual
Prefix:
First Name:ROY
Middle Name:
Last Name:ROST
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:ROST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1110 NASA PKWY STE 545P
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3358
Mailing Address - Country:US
Mailing Address - Phone:832-271-4664
Mailing Address - Fax:
Practice Address - Street 1:1110 NASA PKWY STE 545P
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3358
Practice Address - Country:US
Practice Address - Phone:281-786-7914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG