Healthcare Provider Details

I. General information

NPI: 1972736254
Provider Name (Legal Business Name): DAVID ANTHONY ROSEMOND RVT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2009
Last Update Date: 09/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 CHELSEA ST SUITE B
EL PASO TX
79903-4925
US

IV. Provider business mailing address

811 CHELSEA ST SUITE B
EL PASO TX
79903-4925
US

V. Phone/Fax

Practice location:
  • Phone: 915-525-4920
  • Fax: 915-307-4722
Mailing address:
  • Phone: 915-525-4920
  • Fax: 915-307-4722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XC2903X
TaxonomyVascular Specialist/Technologist Cardiovascular
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: