MICHAEL ROSE

FORT WORTH, TX
NPI1033551577
Other NameMYKEL ROSE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
Enumeration Date2013-07-25
Last Update Date2013-07-25
Business Address
Mr. MICHAEL ROSE
4924 BELLADONNA DR
FORT WORTH, TX 76123
Phone number: 214-966-4803
Mailing Address
Mr. MICHAEL ROSE
4924 BELLADONNA DR
FORT WORTH, TX 76123-4610
Phone number: 214-966-4803