Individual
ROSE N MAINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11797 SOUTH FWY, STE 330, BURLESON, TX 76028-7026
(817) 293-1900
(817) 293-4930
Mailing address
601 OMEGA DR, SUITE 206, ARLINGTON, TX 76014-2075
(817) 465-5881
(817) 465-6336
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
808274
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3142937
—
TX
Enumeration date
11/26/2012
Last updated
08/26/2014
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