DR. Jackie Rose, MD

NPI #1073552691 in Tyler, Texas

Provider Information

NPI Number
1073552691
Entity Type
Individual
Name
DR. Jackie Rose, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Emergency Medicine
Credential
MD
Enumeration Date
Jun 6, 2006
Last Updated
Nov 2, 2007

Practice Location

Address
1000 S BECKHAM AVE
City
Tyler
State
Texas
ZIP Code
75701-1908
Phone
(903) 597-0351

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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