Individual
MR. JAMES ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGCNS-BC
Contact information
Practice address
1924 FOREST RIDGE DR, BEDFORD, TX 76021-8228
(817) 545-4550
(817) 571-0804
Mailing address
409 LARK ST, LEANDER, TX 78641-1750
(512) 468-2339
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
AP126386
TX
364SG0600X
Gerontology Clinical Nurse Specialist
AP126386
TX
Other
Enumeration date
11/05/2014
Last updated
09/08/2015
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