Individual
MR. MICHAEL ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4924 BELLADONNA DR, FORT WORTH, TX 76123
(214) 966-4803
Mailing address
4924 BELLADONNA DR, FORT WORTH, TX 76123-4610
(214) 966-4803
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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