Individual
DR. JAMES KEITH ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5536 SARATOGA BLVD, CORPUS CHRISTI, TX 78413-2944
(361) 992-0227
(361) 992-0669
Mailing address
5536 SARATOGA BLVD, CORPUS CHRISTI, TX 78413-2944
(361) 992-0227
(361) 992-0669
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J4486
TX
208D00000X
General Practice Physician
J4486
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084171001
—
TX
Enumeration date
12/21/2006
Last updated
09/28/2010
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