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Contact Information

PAUL M DEROSE, MD
2805 E PRESIDENT GEORGE BUSH HWY
RICHARDSON, TX75082-3561
 Phone: 469-204-6100
 Fax: 469-726-6141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for PAUL M DEROSE · (Male)

NPI Number 1659573780
Status Active
Credentials MD
Entity Individual
Enumeration date 06/01/2007
Last updated 10/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301088486
  • TX License # N9842
  • TX Medicaid 283831001
  • TX Medicaid 283831003
Hospital affiliation(s)
  • METHODIST RICHARDSON MEDICAL CENTER - (Acute Care)
    2831 E PRESIDENT GEORGE BUSH HIGHWAY
    RICHARDSON, TX 75082
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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