Doctor Name: | DR. ROGER RON DOSS |
NPI Number: | 1942380175 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D.,L.P.C. |
License Number: | 4019 |
Business Practice Address: | 3617 W Pioneer Pkwy Pantego, TX - 760134504 |
Business Phone Number: | 8172753617 |
Business Fax Number: | 8172753620 |
Mailing Address: | 3617 W Pioneer Pkwy, PANTEGO |
State: | TX |
Postal Code: | 760134504 |
Phone Number: | 8172753617 |
Fax Number: | 8172753620 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |