| James Todd Rose, M.d., P.a. | |
|
4417 71st St Suite 42 Lubbock TX 79424-2394 | |
| (806) 799-2991 | |
| (806) 793-5331 |
| Full Name | James Todd Rose, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4417 71st St, Lubbock, Texas |
| Authorized Official Name and Position | Todd Rose (PRESIDENT) |
| Authorized Official Contact | 8067992991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Todd Rose, M.d., P.a. 4417 71st St Suite 42 Lubbock TX 79424-2394 Ph: (806) 799-2991 | James Todd Rose, M.d., P.a. 4417 71st St Suite 42 Lubbock TX 79424-2394 Ph: (806) 799-2991 |
| NPI Number | 1467762021 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 09/04/2015 |
| Medicare PECOS PAC ID | 8224219175 |
|---|---|
| Medicare Enrollment ID | O20110224000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467762021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L9460 (Texas) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | L9460 (Texas) | Secondary |
| Provider Name | James Todd Rose |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861488827 PECOS PAC ID: 5890763569 Enrollment ID: I20040921000138 |
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