Most Relevant Information
Provider Data
| NPI Number: | 1003371402 |
| Provider Name: | ROSA PAUL RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: | RBT-15-08909 |
Most Important Dates
| Enumeration Date: | 02/10/2019 |
| Last Updated: | 02/10/2019 |
Provider Practice Location
3100 PREMIER DR STE 234
IRVING
TX
750632693
Practice Location Phone/Fax
| Phone: | 9727561222 |
| Fax: |
Provider Mailing Location
3100 PREMIER DR STE 234
IRVING
TX
750632693
Provider Mailing Phone/Fax
| Phone: | 9727561222 |
| Fax: |