MEDICARE: DEBORAH LYNN ROCHA RN

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	163W00000X	Registered Nurse	705880	TX

General Provider Information

NPI Number	:	1003769456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH LYNN ROCHA RN

Provider Business Mailing Address
First Line	:	1681 LARAMIE LN
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-1787
Country	:	US
Telephone Number	:	817-821-6989
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 HULEN ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-7276
Country	:	US
Telephone Number	:	817-335-3022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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