Individual
DR. DONALD C ROA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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