Individual
DR. DEE ALAN ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
997 W INTERSTATE 20, FAMILY MEDICAL ASSOCIATES, COLORADO CITY, TX 79512-2685
(325) 728-2963
(325) 728-2420
Mailing address
997 W INTERSTATE 20, FAMILY MEDICAL ASSOCIATES, COLORADO CITY, TX 79512-2685
(325) 728-2963
(325) 728-2420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G5542
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110416801
—
TX
01
—
87T821
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/05/2006
Last updated
04/28/2014
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