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Organization
MARIO R ROA JR MD PA
Active
Organization
MARIO R ROA JR MD PA
Active
Other names
MARIO B ROA JR MD
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN BARKER CPC (OFFICE MANAGER)
(940) 759-6126
Entity
Organization
Contact information
Practice address
509 N MAPLE ST, MUENSTER, TX 76252-2425
(940) 759-2226
(940) 759-2385
Mailing address
PO BOX 370, MUENSTER, TX 76252-0370
(940) 759-2226
(940) 759-2385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N7865
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280665501
—
TX
Enumeration date
11/09/2010
Last updated
08/25/2011
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