Organization
DONALD C. ROA, MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD C. ROA M.D. (M.D.)
(956) 412-7099
Entity
Organization
Contact information
Practice address
1821 S SESAME SQUARE, SUITE 9, HARLINGEN, TX 78550-8407
(956) 412-7099
(956) 412-7488
Mailing address
1821 S SESAME SQUARE, SUITE 9, HARLINGEN, TX 78550-8407
(956) 412-7099
(956) 412-7488
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L7141
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193706201
—
TX
01
—
8BC600
BC BS OF TX
TX
Enumeration date
01/18/2008
Last updated
04/22/2011
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