Individual
MR. ROLLIE ROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, CPNP
Contact information
Practice address
1401 S FLORES ST APT 103, SAN ANTONIO, TX 78204-1650
(574) 849-0911
Mailing address
1401 S FLORES ST APT 103, SAN ANTONIO, TX 78204-1650
(574) 849-0911
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP127035
TX
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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