Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | R5753 | TX |
NPI | 1154676146 |
---|---|
Provider Name | Rossa Khalaf |
First Address | El Paso, TX 79912-5919 |
Second Address | El Paso, TX 79915-1811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2012 |
Last Update Date | 01/10/2018 |