Jenica M Rose-Stine in Willow Park - Pediatrics
Jenica M Rose-Stine - NPI 1174735872
Jenica M Rose-Stine is a Pediatrics in Willow Park, Texas. Jenica M Rose-Stine practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jenica M Rose-Stine is 1174735872. The last update date is 2021-04-19.
Jenica M Rose-Stine's current location address is 136 El Chico Trl Ste 102, Willow Park, Texas. You can contact this provider via phone number 8174415412 and fax number 8174419354. The mailing address for Jenica M Rose-Stine is 136 El Chico Trl Ste 102, Willow Park, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jenica M Rose-Stine |
|---|---|
| Address | 136 El Chico Trl Ste 102, Willow Park, Texas |
| Phone Number | 8174415412 |
| Fax Number | 8174419354 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1174735872 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2021-04-19 |
Provider Mailing Address Detail
| Address | 136 El Chico Trl Ste 102 |
|---|---|
| City | Willow Park |
| State | Texas (TX) |
| Post Code | 760878864 |
| Phone Number | 8174415412 |
| Fax Number | 8174419354 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | M8294 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jenica M Rose-Stine by the Centers for Medicare & Medicaid Services?
The Jenica M Rose-Stine has been assigned the NPI (National Provider Identifier) 1174735872 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jenica M Rose-Stine?
The Jenica M Rose-Stine is physically situated at 136 El Chico Trl Ste 102, in the city of Willow Park, state of TX, with the postal code 760878864.
What is Jenica M Rose-Stine's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jenica M Rose-Stine is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.
On what date did the Jenica M Rose-Stine receive its 1174735872 assignment from the Centers for Medicare & Medicaid Services?
The Jenica M Rose-Stine was assigned its 1174735872 by the Centers for Medicare & Medicaid Services on 2007-05-04.
As of what date were the details related to Jenica M Rose-Stine most recently updated or revised?
The information pertaining to Jenica M Rose-Stine, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-19.