Organization
PATRICK T. ROUGHNEEN, M.D,, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMCHI THI NGUYEN (OFFICE MANAGER)
(817) 552-1900
Entity
Organization
Contact information
Practice address
1600 W COLLEGE ST, SUITE 555, GRAPEVINE, TX 76051-3589
(817) 552-1900
Mailing address
1600 W COLLEGE ST, SUITE 555, GRAPEVINE, TX 76051-3589
(817) 552-1900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J1480
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171001401
—
TX
01
—
P00323790
RAILROAD MEDICARE PTAN
TX
Enumeration date
05/10/2007
Last updated
10/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us