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1750489993
LISA M ROTEN
FORT WORTH, TX
NPI
1750489993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0202X Pediatrics, Pediatric Cardiology
(Licence: TX K8462)
Enumeration Date
2006-09-20
Last Update Date
2021-04-09
Business Address
LISA M ROTEN MD
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-2140
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Mailing Address
LISA M ROTEN MD
PO BOX 99371
FORT WORTH, TX 76199-0371
Phone number: 682-885-1855
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