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NPI Code Detail

MEDICARE: DR. KEVIN ADOLFO ROSADO PH.D

MEDICARE: DR. KEVIN ADOLFO ROSADO PH.D
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
1101YP2500XProfessional Counselor15729TX

General Provider Information

NPI Number : 1275721102
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN ADOLFO ROSADO PH.D
Provider Business Mailing Address
First Line : 715 N FIELDER RD STE D
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-4695
Country : US
Telephone Number : 817-962-0409
Fax Number : 817-900-2475
Provider Business Practice Location Address
First Line : 715 N FIELDER RD STE D
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-4695
Country : US
Telephone Number : 817-962-0409
Fax Number : 817-900-2475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2007
Last Update Date : 07/28/2019

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