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Individual

DR. BELA ROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2427 THORNDON PARK CT, LEAGUE CITY, TX 77573-5563
(281) 538-2417
Mailing address
2427 THORNDON PARK CT, LEAGUE CITY, TX 77573-5563
(281) 538-2417

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
E5224
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OOAJ40
BCBS
TX
05
POOOAJ406
TX
Enumeration date
10/06/2016
Last updated
10/06/2016
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