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Individual

DR. GARY J ROLOSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3600 GASTON AVE, WADLEY TOWER, SUITE 261, DALLAS, TX 75246-1800
(214) 818-9100
(214) 818-9180
Mailing address
3600 GASTON AVE, WADLEY TOWER, SUTE 261, DALLAS, TX 75246-1800
(214) 823-6492
(214) 818-9180

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
J3205
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118798104
TX
01
8977K1
BLUE CROSS BLUE SHEILD
TX
01
P00120165
RAILROAD MEDICARE
TX
Enumeration date
06/19/2006
Last updated
02/01/2017
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