Provider Demographics
NPI:1376031211
Name:ROSES, L.L.C.
Entity Type:Organization
Organization Name:ROSES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:210-674-2700
Mailing Address - Street 1:9411 DUGAS DR STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-1002
Mailing Address - Country:US
Mailing Address - Phone:210-674-2700
Mailing Address - Fax:210-674-4591
Practice Address - Street 1:9411 DUGAS DR STE 104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-1002
Practice Address - Country:US
Practice Address - Phone:210-674-2700
Practice Address - Fax:210-674-4591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-26
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6111111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty