De La Rosa, Fabian

De La Rosa, Fabian is an individual health care provider with primary practice located at 4801 Alberta Ave. , El Paso TX 79905. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. De La Rosa, Fabian can be contacted via phone (915) 545-7333.

Contact Information

Primary practice address
4801 Alberta Ave. El Paso TX 79905
Phone: (915) 545-7333
Fax: (915) 545-7338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X P.A. 04215 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04215 Texas

Profile Details

NPI number 1285694026
LBN Legal business name De La Rosa, Fabian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated May 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285694026 NPPES
Texas MEDICAID 181191103

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