Provider Demographics
NPI:1588808190
Name:ROSADO, JOSE ISABEL (QMHP-CS)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:ISABEL
Last Name:ROSADO
Suffix:
Gender:M
Credentials:QMHP-CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4225 OFFICE PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-3628
Mailing Address - Country:US
Mailing Address - Phone:214-821-6505
Mailing Address - Fax:214-821-6504
Practice Address - Street 1:1405 PARK EAST DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-5340
Practice Address - Country:US
Practice Address - Phone:972-762-9837
Practice Address - Fax:214-821-6504
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst