NPI 1275069908

Jared Rosen

Practitioner Prevention Professional Frisco, TX

Practice location

Address: 1 Cowboys Way, Frisco, TX 75034-1963
Phone: (267) 566-8073
Mailing address: 1712 Cliffrose Ln, Lewisville, TX 75067-5429

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence AT7075 (TX)

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Registry record

NPI: 1275069908
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2017
Record last updated: 1 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.