Individual
DR. KRISTEN RENEE ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
PO BOX 1787, DICKINSON, TX 77539-1787
(832) 374-4456
Mailing address
PO BOX 1787, DICKINSON, TX 77539-1787
(832) 374-4456
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q1285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339969301
—
TX
01
—
339969302
CSHCN
TX
Enumeration date
06/26/2011
Last updated
03/12/2025
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