Organization
ROGER HOUSE MD, PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER D. HOUSE (OWNER)
(903) 792-4779
Entity
Organization
Contact information
Practice address
2401 SUMMERHILL RD., SUITE A, TEXARKANA, TX 75501
(903) 792-4779
Mailing address
2401 SUMMERHILL RD, SUITE A, TEXARKANA, TX 75501
(903) 792-4779
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
J1266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251B00000X
—
TX
Enumeration date
09/13/2007
Last updated
09/13/2007
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