| Christopher R. Rose, Md Pa | |
|
3709 22nd Pl Ste A Lubbock TX 79410-1333 | |
| (806) 791-3999 | |
| (806) 791-1054 |
| Full Name | Christopher R. Rose, Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3709 22nd Pl, Lubbock, Texas |
| Authorized Official Name and Position | Christopher R Rose (OWNER/PRINCIPAL) |
| Authorized Official Contact | 8067913999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher R. Rose, Md Pa 3709 22nd Pl Ste A Lubbock TX 79410-1333 Ph: (806) 791-3999 | Christopher R. Rose, Md Pa 3709 22nd Pl Ste A Lubbock TX 79410-1333 Ph: (806) 791-3999 |
| NPI Number | 1487905238 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 09/19/2012 |
| Medicare PECOS PAC ID | 6709772437 |
|---|---|
| Medicare Enrollment ID | O20121022000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487905238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher R Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619075520 PECOS PAC ID: 8921994658 Enrollment ID: I20040227000413 |
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