Individual
DR. SIMONE M. BRIDGES-ROSCHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
218 QUINLAN ST # 372, KERRVILLE, TX 78028-5314
(830) 997-1268
(775) 852-6902
Mailing address
PO BOX 17916, RENO, NV 89511-1034
(888) 896-9369
(775) 852-6902
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
N2763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204232701
—
TX
01
—
204232702
CSHCN
TX
01
—
8CA893
BCBS
TX
Enumeration date
11/09/2007
Last updated
09/18/2014
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