Individual
BRANDON ROANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 W. COLORADO BLVD., PAV. II, STE. 532, DALLAS, TX 75208-2363
(214) 943-9911
(214) 946-8339
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
37073
AL
207VX0201X
Gynecologic Oncology Physician
Primary
T3175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428271702
—
TX
05
—
428271703
—
TX
Enumeration date
04/20/2014
Last updated
11/09/2022
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