ROSE PSYCHIATRIC ASSOCIATE PLLC NPI 1114621554

NPI Information

  • NPI: 1114621554
  • Provider Name: ROSE PSYCHIATRIC ASSOCIATE PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 409 S CENTRAL EXPY STE 107-514
    ANNA, TX
    ZIP 75409
  • Phone: (469) 545-0902

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NPI Details

ROSE PSYCHIATRIC ASSOCIATE PLLC is a psychiatric/mental health nurse practitioner in Anna, TX. ROSE PSYCHIATRIC ASSOCIATE PLLC NPI is 1114621554. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

409 S CENTRAL EXPY STE 107-514
ANNA, TX
ZIP 75409-909
Phone: (469) 545-0902
Fax: (469) 960-3925

The provider's authorized official is Veronicah Banga .
The authorized official title is Owner and has the following contact phone number (469) 545-0902.

The enumeration date for this NPI number is 3/29/2023 and was last updated on 7/16/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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