Provider Demographics
NPI:1295136661
Name:ROSELLINI SCIENTIFIC
Entity type:Organization
Organization Name:ROSELLINI SCIENTIFIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT/ COO
Authorized Official - Prefix:
Authorized Official - First Name:SHENEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-730-2437
Mailing Address - Street 1:13739 SPRUCEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-3629
Mailing Address - Country:US
Mailing Address - Phone:888-730-2437
Mailing Address - Fax:214-310-0013
Practice Address - Street 1:13739 SPRUCEWOOD CIR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-3629
Practice Address - Country:US
Practice Address - Phone:888-730-2437
Practice Address - Fax:214-310-0013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty