Individual
CARLA M ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
Mailing address
7200 CAMBRIDGE ST FL 10, HOUSTON, TX 77030-4202
(713) 798-1750
(713) 798-4693
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
620129
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP110661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051613
RECERTIFICATION
—
05
—
149003903
—
TX
05
—
149003905
—
TX
05
—
149003906
—
TX
01
—
86931U
BCBS TAC HOU
TX
Enumeration date
11/01/2006
Last updated
04/18/2025
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