Evon Marie Rose, DO, OTD is a
Student In An Organized Health Care Education/training Program based in San Antonio, Texas. Evon Marie Rose is licensed to practice in * (Not Available) (license number ) and her current practice location is
7615 Kennedy Hl, San Antonio, Texas. She can be reached at her office (for appointments etc.) via phone at
(210) 283-6438.
NPI number for Evon Marie Rose is 1720785728 and her current mailing address is 6443 Lost Arbor, San Antonio, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720785728.
Healthcare Provider's Profile
| Full Name | Evon Marie Rose |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 7615 Kennedy Hl, San Antonio, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720785728
- Provider Enumeration Date: 02/09/2023
- Last Update Date: 04/21/2024
Medical Identifiers
Medical identifiers for Evon Marie Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720785728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 121057 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evon Marie Rose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Evon Marie Rose, DO, OTD
6443 Lost Arbor,
San Antonio, TX 78240-4925
Ph: (850) 543-0184 | Evon Marie Rose, DO, OTD
7615 Kennedy Hl,
San Antonio, TX 78235-4437
Ph: (210) 283-6438 |
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