Individual
CHRISTY ANIZZA ROSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA09994
TX
363AM0700X
Medical Physician Assistant
Primary
PA09994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA09994
TEXAS LICENSE NUMBER
TX
Enumeration date
09/22/2015
Last updated
04/19/2021
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