Individual
CARLY ROSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
10536 PALMERA RD, FORT WORTH, TX 76126-4592
(817) 201-1122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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