Individual
JEREMY CHRISTOPHER ROEBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 HOSPITAL DR, SUITE 300, BEAUMONT, TX 77701-4664
(409) 212-8111
(409) 981-1787
Mailing address
740 HOSPITAL DR, SUITE 300, BEAUMONT, TX 77701-4664
(409) 212-8111
(409) 981-1787
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M3374
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187037001
—
TX
Enumeration date
06/15/2006
Last updated
08/16/2022
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