Individual
DR. J. EDWARD ROSENTHAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, SUITE A202, DALLAS, TX 75230-2584
(972) 566-7733
(972) 720-5803
Mailing address
7777 FOREST LN, SUITE A202, DALLAS, TX 75230-2584
(972) 566-7733
(972) 720-5803
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D4288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136795511
—
TX
05
—
136795512
—
TX
Enumeration date
08/19/2005
Last updated
08/22/2013
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