Doctor Name: | WILLIAM G ROE |
NPI Number: | 1699045179 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATP |
License Number: | |
Business Practice Address: | 6725 Stella Link Rd Houston, TX - 770054342 |
Business Phone Number: | 7136690500 |
Business Fax Number: | 7136663233 |
Mailing Address: | Po Box 273028, HOUSTON |
State: | TX |
Postal Code: | 772773028 |
Phone Number: | 7136690500 |
Fax Number: | 7136663233 |
NPI Enumeration Date: | 12/30/2011 |
NPI Last Update Date: | 12/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |