Individual
MR. JOHN E ROKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195188101
—
TX
05
—
195188110
—
TX
01
—
195188111
CSHCN MEDICAID
TX
01
—
8U3555
BCBS
TX
01
—
8Y8318
BCBSTX
TX
Enumeration date
01/19/2006
Last updated
10/30/2024
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