Individual
DR. DOROTHY ANNETTE ROSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
575 HILL COUNTRY DR, 2ND FLOOR, KERRVILLE, TX 78028
(830) 258-7090
(830) 258-7098
Mailing address
575 HILL COUNTRY DR, KERRVILLE, TX 78028-6024
(830) 258-7762
(830) 258-7098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H2004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D54Z
BLUE CROSS/BLUE SHIELD
TX
01
—
110034733
RAILROAD MEDICARE
TX
01
—
1228306-03
TPI
TX
05
—
P000D54Z0
—
TX
Enumeration date
07/18/2006
Last updated
06/01/2018
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