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Individual

DR. GARY D. ROARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1249 AMBLER AVE, SUITE 200, ABILENE, TX 79601-2351
(325) 677-2626
(325) 677-6835
Mailing address
1249 AMBLER AVE, SUITE 200, ABILENE, TX 79601-2351
(325) 677-2626
(325) 677-6835

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E4638
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110012672
RAILROAD MEDICARE
TX
01
122579100
FIRSTCARE
TX
05
129978601
TX
Enumeration date
01/19/2006
Last updated
03/24/2015
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