Individual
VICKI BENTON ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
1110 GAY ST, MENARD, TX 76859
(832) 392-9040
Mailing address
PO BOX 546, MENARD, TX 76859-0546
(832) 392-9040
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
5001
TX
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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