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NPI Code Detail

MEDICARE: MEGAN ELAINE ROSA PA-C

MEDICARE: MEGAN ELAINE ROSA PA-C
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
1363A00000XPhysician AssistantPA15179TX

General Provider Information

NPI Number : 1720698640
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ELAINE ROSA PA-C
Provider Business Mailing Address
First Line : PO BOX 5291
Second Line :
City : MIDLAND
State : TX
Zip : 79704-5291
Country : US
Telephone Number : 432-221-4004
Fax Number : 844-438-3089
Provider Business Practice Location Address
First Line : 5615 DEAUVILLE STE 220
Second Line :
City : MIDLAND
State : TX
Zip : 79706-2707
Country : US
Telephone Number : 432-221-4004
Fax Number : 844-438-3089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2020
Last Update Date : 01/06/2026

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Directions to “ MEGAN ELAINE ROSA PA-C” Practice Location

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