Individual
PRESTON A ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
132 PUREFOY RD, CHAPEL HILL, NC 27514-4853
(970) 449-2615
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
BP10082348
TX
Other
Enumeration date
03/27/2023
Last updated
08/27/2023
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