Individual
ROXANNE MONGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2801 REGAL RD, SUITE 108, PLANO, TX 75075-6315
(972) 599-0080
(972) 599-0082
Mailing address
2801 REGAL RD, SUITE 108, PLANO, TX 75075-6315
(972) 599-0080
(972) 599-0082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10537
TX
363AS0400X
Surgical Physician Assistant
Primary
000037
CT
Other
Enumeration date
08/02/2005
Last updated
11/02/2016
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