Provider Demographics
NPI:1427581586
Name:ROSENER, JOHN ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ANDREW
Last Name:ROSENER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 650823 DEPT 41197
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-7201
Mailing Address - Country:US
Mailing Address - Phone:800-411-7515
Mailing Address - Fax:214-252-0527
Practice Address - Street 1:3625 N HALL ST STE 800
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-5106
Practice Address - Country:US
Practice Address - Phone:214-252-3500
Practice Address - Fax:214-252-0527
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
TXT2258207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program