(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003289935
Provider Name: CRYSTAL RENE ROSE CNM
Entity Type: Individual
Taxonomy Code: 367A00000X
Specialty: Advanced Practice Midwife
License Number: AP128269
Most Important Dates
Enumeration Date: 10/30/2015
Last Updated: 02/09/2022
Provider Practice Location
7016 BRYANT IRVIN RD STE 100
FORT WORTH
TX
761324120
Practice Location Phone/Fax
Phone: 8173778820
Fax: 8173778450
Provider Mailing Location
7016 BRYANT IRVIN RD STE 100
FORT WORTH
TX
761324120
Provider Mailing Phone/Fax
Phone: 8173778820
Fax: 8173778450