Individual
ELIZABETH ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
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