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Individual

MRS. DONITA J ROCH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
7100 OAKMONT BLVD, SUITE 101, FORT WORTH, TX 76132-3909
(817) 370-0400
(817) 370-0448
Mailing address
7100 OAKMONT BLVD, SUITE 101, FORT WORTH, TX 76132-3909
(817) 370-0400
(817) 370-0448

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA00897
TX

Other

Enumeration date
09/13/2005
Last updated
07/09/2007
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