Individual
DAVID R. ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 FANNIN ST, 8TH FLOOR, HOUSTON, TX 77030-2316
(832) 822-3160
(832) 825-3159
Mailing address
2 GREENWAY PLZ, SUITE 910, HOUSTON, TX 77046-0297
(713) 798-1750
(713) 798-1144
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
F5729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136180004
—
TX
Enumeration date
10/25/2006
Last updated
03/01/2011
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