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Individual

MS. SHARON LEE ROSSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-0808
Mailing address
8146 NIGHT BLUFF DR, SAN ANTONIO, TX 78255-3300
(210) 263-9399

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1049250
NCCPA CERTIFICATION NUMBE
Enumeration date
08/05/2006
Last updated
07/08/2007
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