Individual
ROSHAN BASTIAN TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 266-7856
(409) 772-1224
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BP10094028
TX
Other
Enumeration date
06/02/2025
Last updated
06/09/2025
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