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Individual

MRS. ROSE PAUL BAGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-8000
(214) 645-7269
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-8000
(214) 645-7269

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
734412
TX
363LA2100X
Acute Care Nurse Practitioner
AP121607
TX
363LF0000X
Family Nurse Practitioner
734412
TX
363LF0000X
Family Nurse Practitioner
AP121607
TX
363LG0600X
Gerontology Nurse Practitioner
AP121607
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
734412
RN LICENSE NUMBER
TX
01
AP121607
APRN LICENSE NUMBER
TX
Enumeration date
03/10/2012
Last updated
10/16/2015
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