Individual
ROSSER KENNEDY POWITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, MS-09-C400C, TEMPLE, TX 76508-0001
(254) 724-4541
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
P5710
TX
207YP0228X
Pediatric Otolaryngology Physician
Primary
P5710
TX
Other
Enumeration date
06/23/2007
Last updated
01/05/2021
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