Individual
JAROD ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
1901 LONG PRAIRIE RD, SUITE 220-80, FLOWER MOUND, TX 75022-4246
(940) 736-6810
Mailing address
1901 LONG PRAIRIE RD, SUITE 220-80, FLOWER MOUND, TX 75022-4246
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
1154
TX
246ZS0410X
Surgical Technologist
SA00574
TX
Other
Enumeration date
04/08/2011
Last updated
08/10/2017
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