Individual
RICHARD J ROETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6801 EMMETT F LOWRY EXPY, TEXAS CITY, TX 77591-2500
(409) 938-5000
(409) 938-5001
Mailing address
3910 TRAVIS LAKE CT, PEARLAND, TX 77581-4783
(281) 485-1896
(281) 485-1896
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J1374
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89514Z
BC/BS PROVIDER NUMBER
TX
Enumeration date
01/24/2006
Last updated
02/21/2008
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