MEDICARE: DR. FRANCISCO J. DE ROSAS, M.D.P.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	E9178	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124256144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. FRANCISCO J. DE ROSAS, M.D.P.A

Provider Business Mailing Address
First Line	:	2039 TRAWOOD DR STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-3501
Country	:	US
Telephone Number	:	915-595-2183
Fax Number	:	915-595-2185

Provider Business Practice Location Address
First Line	:	2039 TRAWOOD DR STE B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-3501
Country	:	US
Telephone Number	:	915-595-2183
Fax Number	:	915-595-2185

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. FRANCISCO JAVIER DE ROSAS
Credential	:	M.D.
Telephone Number	:	915-595-2183

Provider Enumeration Date	:	06/29/2009
Last Update Date	:	06/29/2009

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