Provider Demographics
NPI:1104086081
Name:ROJAS, VERONICA (RN)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:ROJAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 BONNIE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-1439
Mailing Address - Country:US
Mailing Address - Phone:817-727-3412
Mailing Address - Fax:
Practice Address - Street 1:4201 BONNIE DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-1439
Practice Address - Country:US
Practice Address - Phone:817-727-3412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX663382163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX663382OtherR.N. LICENSE NUMBER