Individual
DR. KEVIN MATTHEW ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6621 FANNIN STREET, WT6-006, TEXAS CHILDREN'S HOSPITAL, PEDIATRICS INTENSIVE CARE, HOUSTON, TX 77030
(832) 826-6240
(832) 825-6229
Mailing address
7606 HERNDON PL, SUGAR LAND, TX 77479-2793
(347) 525-5361
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
N3279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8L17026
—
TX
Enumeration date
06/05/2009
Last updated
08/19/2009
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