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Individual

DR. TAMMY ELIZABETH ROQUE

Active
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Individual

DR. TAMMY ELIZABETH ROQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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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