Provider Demographics
NPI:1235139304
Name:CUENCA, ROSA E (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSA
Middle Name:E
Last Name:CUENCA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:301 W 18TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-2370
Mailing Address - Country:US
Mailing Address - Phone:903-572-9050
Mailing Address - Fax:903-572-9051
Practice Address - Street 1:301 W 18TH ST STE 101
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-2370
Practice Address - Country:US
Practice Address - Phone:903-572-9050
Practice Address - Fax:903-572-9051
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM69772086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AN270OtherBCBS
TX00Y454Medicare PIN