Individual
DAVE A. ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD., DALLAS, TX 75390
(205) 422-7697
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M9620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0026382
INSTITUTIONAL PERMIT
—
Enumeration date
06/13/2007
Last updated
07/16/2018
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