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Colin James Rose, MD
Military Health Care Provider in Jbsa Lackland, Texas
NPI 1487398111

Colin James Rose is a Military Health Care Provider based in Jbsa Lackland, TX. Colin James Rose practices in Jbsa Lackland, TX and has the professional credentials of MD. The NPI Number for Colin James Rose is 1487398111 and holds a License No. 70127 (Texas).

The current practice location address for Colin James Rose is 1100 Wilford Hall Loop, Jbsa Lackland, TX and can be reached out via phone at 210-292-5350.

Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX, 78236-5638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487398111
Provider Name
Colin James Rose
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1100 Wilford Hall Loop, Jbsa Lackland, TX, 78236-5638
Phone Number
210-292-5350
Fax Number
Provider Enumeration Date
04/27/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1100 Wilford Hall Loop
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
210-292-5350
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Wilford Hall Loop
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
210-292-5350
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
70127 (Tennessee)
Definition
Definition to come...
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