Individual
JACK A. ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
H1200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036709601
—
TX
01
—
330002394
RR MCR
TX
01
—
800866
BCBS
TX
Enumeration date
09/15/2006
Last updated
02/24/2011
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