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Individual

PAULA JEAN ROSSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1717 MAIN ST, SUITE 5200, DALLAS, TX 75201-4612
(800) 362-2731
Mailing address
10129 CHAPEL SPRINGS TRL, FORT WORTH, TX 76116-1252

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M4491
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
188452011
TX
01
P01065532
RAILROAD
TX
Enumeration date
12/19/2006
Last updated
10/04/2012
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