Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 255170 | TX |
NPI | 1003039900 |
---|---|
Provider Name | Mrs. Rosalinda Rossow |
First Address | Mcallen, TX 78504-4988 |
Second Address | Edinburg, TX 78539-2909 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |