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Individual

DR. RANDALL ROSENBLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3410 WORTH ST, SUITE 250, DALLAS, TX 75246-2003
(214) 820-9111
(214) 820-1638
Mailing address
3410 WORTH ST, SUITE 250, DALLAS, TX 75246-2003
(214) 820-9111
(214) 820-1638

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
E4927
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1264046-08
TX
05
1264046-10
TX
05
126404609
TX
Enumeration date
06/02/2006
Last updated
02/17/2015
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