# ROSE PSYCHIATRIC ASSOCIATE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114621554
- **Authorized official:** VERONICAH BANGA MSN, APRN-CNP, PMHNP (OWNER)
- **Authorized official phone:** (469) 545-0902

## Contact information

- **Practice address:** 409 S CENTRAL EXPY STE 107-514, ANNA, TX 75409-4909
- **Practice address phone:** (469) 545-0902
- **Practice address fax:** (469) 960-3925
- **Mailing address:** 409 S CENTRAL EXPY STE 107-514, ANNA, TX 75409-4909
- **Mailing address phone:** (469) 545-0902
- **Mailing address fax:** (469) 960-3925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2023
- **Last updated:** 07/16/2024