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Organization

ROCHE MEDICAL PRACTICE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRADLEY ROCHE MD (SOLE OWNER)
(904) 755-4936
Entity
Organization

Contact information

Practice address
708A E 12TH ST, HOUSTON, TX 77008-7124
(904) 755-4936
Mailing address
708A E 12TH ST, HOUSTON, TX 77008-7124

Taxonomy

Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary

Other

Enumeration date
10/16/2025
Last updated
10/16/2025
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