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NPI Code Detail

MEDICARE: DR. DAVID ROSENTHAL D.C.

MEDICARE:  DR. DAVID  ROSENTHAL  D.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
1111N00000XChiropractor10053TX
2111N00000XChiropractorCH 2276MA
3111N00000XChiropractorX009109-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y36980OTHERMABLUE CROSS/ BLUE SHIELDMA
2608210OTHERTXBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1831115666
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID ROSENTHAL D.C.
Provider Business Mailing Address
First Line : 19251 PRESTON RD
Second Line : #505
City : DALLAS
State : TX
Zip : 75252-8552
Country : US
Telephone Number : 972-322-2280
Fax Number :
Provider Business Practice Location Address
First Line : 3530 FOREST LN
Second Line : SUITE 290
City : DALLAS
State : TX
Zip : 75234-7910
Country : US
Telephone Number : 972-322-2280
Fax Number : 972-733-3112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID ROSENTHAL D.C.” Practice Location

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