Individual
DR. JILL RACHEL ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BAYLOR PLZ, BCM 320, HOUSTON, TX 77030-3411
(832) 428-8536
Mailing address
1 BAYLOR PLZ, BCM 320, HOUSTON, TX 77030-3411
(832) 428-8536
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BP10037382
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10037382
TEXAS MEDICAL BOARD PERMIT NUMBER
—
Enumeration date
03/30/2011
Last updated
03/30/2011
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