Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | H6559 | TX |
NPI | 1356493472 |
---|---|
Provider Name | Verna Lois Morris Rose |
First Address | Georgetown, TX 78628 |
Second Address | Georgetown, TX 78628 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 08/07/2007 |