Individual
ADRIENNE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
919 LOCKE ST, SAN ANTONIO, TX 78208-2127
(201) 644-8700
Mailing address
919 LOCKE ST, SAN ANTONIO, TX 78208-2127
(201) 644-8700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
122016
TX
207Q00000X
Family Medicine Physician
1417453903
TX
207Q00000X
Family Medicine Physician
Primary
T3690
TX
Other
Enumeration date
04/03/2018
Last updated
10/15/2025
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