Individual
JORGE ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2830 CALDER ST, BEAUMONT, TX 77702-1809
(409) 892-7171
Mailing address
4825 CADDIE SPRINGS CIR, GROVES, TX 77619-2006
(409) 892-7171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
923951
TX
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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