# LODDIE F ROEDER JR MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831368059
- **Authorized official:** LODDIE F. ROEDER JR. (OWNER)
- **Authorized official phone:** (830) 629-0002

## Contact information

- **Practice address:** 189 E AUSTIN ST STE 101, NEW BRAUNFELS, TX 78130-4170
- **Practice address phone:** (830) 629-0002
- **Mailing address:** 189 E AUSTIN ST STE 101, NEW BRAUNFELS, TX 78130-4170
- **Mailing address phone:** (830) 629-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | E6589 | TX | Yes |

## Other

- **Enumeration date:** 02/21/2008
- **Last updated:** 02/21/2008