Individual
DR. MARTHA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
669 AIRPORT FWY, SUITE 302, HURST, TX 76053-3970
(817) 653-5888
Mailing address
669 AIRPORT FWY, SUITE 302, HURST, TX 76053-3970
(817) 653-5888
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36721
TX
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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