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NPI Code Detail

MEDICARE: JASBETH DE LA ROSA

MEDICARE: JASBETH DE LA ROSA
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
1103K00000XBehavior Analyst38503212TX

General Provider Information

NPI Number : 1386226660
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASBETH DE LA ROSA
Provider Business Mailing Address
First Line : 7500 SAN FELIPE ST STE 990
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1708
Country : US
Telephone Number : 281-826-3382
Fax Number : 425-491-7683
Provider Business Practice Location Address
First Line : 12615 ASHFORD HILLS DR
Second Line :
City : HOUSTON
State : TX
Zip : 77077-3842
Country : US
Telephone Number : 713-827-0600
Fax Number : 281-715-5634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2021
Last Update Date : 07/12/2023

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Directions to “ JASBETH DE LA ROSA ” Practice Location

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