| Doctor Name: | DR. JAMES KEITH ROSE |
| NPI Number: | 1225192248 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | J4486 |
| Business Practice Address: | 5536 Saratoga Blvd Corpus Christi, TX - 784132944 |
| Business Phone Number: | 3619920227 |
| Business Fax Number: | 3619920669 |
| Mailing Address: | 5536 Saratoga Blvd, CORPUS CHRISTI |
| State: | TX |
| Postal Code: | 784132944 |
| Phone Number: | 3619920227 |
| Fax Number: | 3619920669 |
| NPI Enumeration Date: | 12/21/2006 |
| NPI Last Update Date: | 09/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | J4486 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |