Provider Demographics
NPI:1881908556
Name:ROSALES, PAULA PATRICIA (NP)
Entity type:Individual
Prefix:MISS
First Name:PAULA
Middle Name:PATRICIA
Last Name:ROSALES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7609 PRESTON RD STE P2700
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3415
Mailing Address - Country:US
Mailing Address - Phone:469-303-9000
Mailing Address - Fax:
Practice Address - Street 1:7609 PRESTON RD STE P2700
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3415
Practice Address - Country:US
Practice Address - Phone:469-303-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004406363LP0200X
CA20674363LP0200X
TXAP143221363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics