Individual
DR. DONALD C ROA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1821 S SESAME SQUARE, SUITE 9, HARLINGEN, TX 78550-8407
(956) 412-7099
(956) 412-7488
Mailing address
2813 N AUGUSTA NATIONAL DR, HARLINGEN, TX 78550-7452
(956) 412-7099
(956) 412-7488
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L7141
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160634502
—
TX
01
—
8BC600
BCBS OF TX
TX
Enumeration date
10/25/2005
Last updated
04/22/2011
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