1255027454 NPI number — ROCKROSE THERAPEUTIC CENTER, PLLC

Table of content: (NPI 1255027454)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255027454 NPI number — ROCKROSE THERAPEUTIC CENTER, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROCKROSE THERAPEUTIC CENTER, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255027454
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/12/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8305 RACINE TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78717-5325
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-789-2111
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
306 E MAIN ST STE 104
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROUND ROCK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78664-5220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-593-8510
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/12/2023

Additional Information

Authorized Official

Authorized Official Last Name:
STUBBLEFIELD
Authorized Official First Name:
ASHLEY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/THERAPIST
Authorized Official Telephone Number:
512-593-8510

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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