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Contact Information

FABIAN DE LA ROSA, PA-C
4801 ALBERTA AVE.
EL PASO, TX79905
 Phone: 915-545-7333
 Fax: 915-545-7338
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for FABIAN DE LA ROSA · (Male)

NPI # 1285694026
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/24/2006
Last updated 05/30/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # P.A. 04215
  • TX License # PA04215
  • TX Medicaid 181191103
Hospital affiliation(s) Not Available
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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