Individual
HARRY ROSENTHAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4932 OVERTON RIDGE BLVD, FORT WORTH, TX 76132-1909
(817) 423-3937
(817) 423-3943
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 423-3943
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G5555
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138791214
—
TX
05
—
138791215
—
TX
01
—
P00096820
RAILROAD
—
Enumeration date
07/17/2006
Last updated
01/10/2013
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