Individual
ALFRED CARL ROSCHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
218 QUINLAN ST # 372, KERRVILLE, TX 78028-5314
(775) 241-8553
(775) 852-6902
Mailing address
PO BOX 17916, RENO, NV 89511-1034
(888) 896-9369
(775) 852-6902
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J8111
TX
2085R0202X
Diagnostic Radiology Physician
Primary
J6111
TX
2085R0204X
Vascular & Interventional Radiology Physician
J8111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105120301
—
TX
01
—
105120302
CSHCN
TX
01
—
86870J
BCBS
TX
Enumeration date
10/27/2005
Last updated
07/01/2020
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