Individual
ELIZABETH ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-3030
(210) 704-4037
Mailing address
315 N SAN SABA STE 1003, SAN ANTONIO, TX 78207-3100
(210) 704-3030
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
L9458
TX
208000000X
Pediatrics Physician
L9458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161251701
—
TX
01
—
161251702
CIDC
TX
Enumeration date
08/08/2006
Last updated
09/24/2025
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