Individual
MRS. ROSA LAURA DELATORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8840 CYPRESS WATERS BLVD, SUITE 150, COPPELL, TX 75019-4594
(210) 381-0657
Mailing address
1229 NICKEL CRK, NEW BRAUNFELS, TX 78130-3329
(210) 381-0657
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
613172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042517502
—
TX
01
—
89N224
BCBS
TX
Enumeration date
10/27/2005
Last updated
01/03/2017
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