Provider Demographics
NPI:1962719567
Name:ROSE ACCIDENT AND INJURY CENTER
Entity type:Organization
Organization Name:ROSE ACCIDENT AND INJURY CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:BARRAND
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-818-0105
Mailing Address - Street 1:4447 N CENTRAL EXPY STE 110
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-4246
Mailing Address - Country:US
Mailing Address - Phone:214-818-0105
Mailing Address - Fax:214-818-0109
Practice Address - Street 1:5101 ROSS AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-7762
Practice Address - Country:US
Practice Address - Phone:214-818-0105
Practice Address - Fax:214-818-0109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF80332083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty