Individual
JOEL ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5406 COLUMBIA AVE, DALLAS, TX 75214-5120
(214) 650-9383
Mailing address
5406 COLUMBIA AVE, DALLAS, TX 75214-5120
(214) 650-9383
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1012631
TX
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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