Individual
DR. TAMMY ELIZABETH ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 S HIGHWAY 75, SHERMAN, TX 75090-9395
(903) 892-9455
(903) 892-4910
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
H8588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045813501
—
TX
01
—
045813503
CSHCN
TX
05
—
100082960A
—
OK
05
—
125531401
—
TX
05
—
125534102
—
TX
01
—
8R1538
BLUE CROSS OF TEXAS
TX
Enumeration date
06/03/2006
Last updated
02/22/2008
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