Individual
DONAL B ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
924 FOSTER LN, WEATHERFORD, TX 76086-5714
(817) 596-8200
(817) 596-8203
Mailing address
PO BOX 669, WEATHERFORD, TX 76086-0669
(817) 596-8200
(817) 596-8203
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L2609
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145322701
—
TX
Enumeration date
08/23/2006
Last updated
09/20/2016
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