Most Relevant Information
Provider Data
| NPI Number: | 1003396763 |
| Provider Name: | BRENDA KAY ROSE RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0200X |
| Specialty: | Registered Nurse |
| License Number: | 594431 |
Most Important Dates
| Enumeration Date: | 08/21/2018 |
| Last Updated: | 08/21/2018 |
Provider Practice Location
3912 TEM BEL LN UNIT B
TEMPLE
TX
765025913
Practice Location Phone/Fax
| Phone: | 2106779902 |
| Fax: |
Provider Mailing Location
3912 TEM BEL LN UNIT B
TEMPLE
TX
765025913
Provider Mailing Phone/Fax
| Phone: | 2106779902 |
| Fax: |