Individual
MR. WILBUR ROA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5373 W ALABAMA ST STE 454, HOUSTON, TX 77056-5947
(866) 646-6352
Mailing address
11101 W AIRPORT BLVD APT 8313, STAFFORD, TX 77477-3186
(832) 766-5960
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
845165
TX
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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