Provider Demographics
NPI:1609113745
Name:CARLOS ROSAS M.D., P.A.
Entity Type:Organization
Organization Name:CARLOS ROSAS M.D., P.A.
Other - Org Name:CARLOS ROSAS M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-831-7111
Mailing Address - Street 1:704 PAREDES LINE RD STE A
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-2442
Mailing Address - Country:US
Mailing Address - Phone:956-831-7111
Mailing Address - Fax:956-831-7119
Practice Address - Street 1:704 PAREDES LINE RD STE A
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2442
Practice Address - Country:US
Practice Address - Phone:956-831-7111
Practice Address - Fax:956-831-7119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6593208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty