Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1205173226 |
---|---|
Provider Name | Dr. Rosa M Rosas |
First Address | Brownsville, TX 78521-1648 |
Second Address | Brownsville, TX 78521-1648 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2013 |
Last Update Date | 10/01/2013 |