Individual
KIMBERLEA A ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8160 WALNUT HILL LN, STE 304, DALLAS, TX 75231-4339
(214) 369-2895
Mailing address
8160 WALNUT HILL LN, STE 304, DALLAS, TX 75231-4339
(214) 369-2895
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K2112
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89380S
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/20/2006
Last updated
01/22/2008
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