Organization
S. RICHARD ROSKOS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S. RICHARD ROSKOS M.D. (PRESIDENT)
(214) 252-1804
Entity
Organization
Contact information
Practice address
3500 OAK LAWN AVE, STE. 215, DALLAS, TX 75219-4348
(214) 252-1804
(214) 526-4610
Mailing address
3500 OAK LAWN AVE, STE. 215, DALLAS, TX 75219-4348
(214) 252-1804
(214) 526-4610
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G1178
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035798001
—
TX
05
—
289028701
—
TX
Enumeration date
12/29/2006
Last updated
07/26/2012
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