Individual
CRYSTAL RENE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
7016 BRYANT IRVIN RD STE 100, FORT WORTH, TX 76132-4120
(817) 377-8820
(817) 377-8450
Mailing address
7016 BRYANT IRVIN RD STE 100, FORT WORTH, TX 76132-4120
(817) 377-8820
(817) 377-8450
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP128269
TX
Other
Enumeration date
10/30/2015
Last updated
02/09/2022
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