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Individual

MARK RICHARD ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2801 FRANCISCAN DR, BRYAN, TX 77802-2544
(979) 776-5967
(979) 731-5619
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A48234
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
J8112
TX
208M00000X
Hospitalist Physician
Primary
J8112
TX

Other

Enumeration date
07/07/2005
Last updated
03/20/2024
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