Provider / Organization | NPI | Date Certified |
---|---|---|
ROSE KNIGHT | 1699364307 | 2021-01-16 |
Rose Knight is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1699364307. Registration indicates Rose Knight is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
Entity Type | Individual |
Provider Name | Rose Knight |
Practice Office Address | 3302 GASTON AVE # 180 DALLAS, TX US |
Practice Office Telephone | 2144999555 |
Mailing Address | 3302 GASTON AVE # 3180 DALLAS, TX 752462013 US |
Code | Practice | License No State |
---|---|---|
363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | PA14130
TX |