BLAIR NICOLE ROSE PA-C NPI 1497059034

NPI Information

Blair Nicole Rose, PA-C is a medical physician assistant in Dallas, TX. Blair Nicole Rose, PA-C NPI is 1497059034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1717 MAIN ST
5200
DALLAS, TX
ZIP 75201-612
Phone: (214) 712-2444

The NPI 1497059034 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/22/2010 and was last updated on 12/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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