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General NPI Number Information
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NPI Number | 1023153590
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Entity Type | Organization
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Legal Business Name | CARLOS ROSAS, MD
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 5850 FM 802 SUITE C-2
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City | BROWNSVILLE
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State | TX
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Zip | 78526-5203
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Country | US
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Telephone | 956-831-7111
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Fax | 956-831-7119
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Provider Business Mailing Address
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Address Line | 33 SHADOWBROOK LN
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City | BROWNSVILLE
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State | TX
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Zip | 78521-1648
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Country | US
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Telephone | 956-541-5487
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CARLOS ROSAS
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Credential | M.D.
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Telephone | 956-831-7111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NULL
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