Paul Roquet Md Pa | |
3201 University Dr E Ste 345 Bryan TX 77802-3484 | |
(979) 492-9268 | |
Not Available |
Full Name | Paul Roquet Md Pa |
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Speciality | Family Medicine |
Location | 3201 University Dr E Ste 345, Bryan, Texas |
Authorized Official Name and Position | Warren Paul Roquet (PHYSICIAN) |
Authorized Official Contact | 9794929268 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Paul Roquet Md Pa 3201 University Dr E Ste 345 Bryan TX 77802-3484 Ph: () - | Paul Roquet Md Pa 3201 University Dr E Ste 345 Bryan TX 77802-3484 Ph: (979) 492-9268 |
NPI Number | 1477000511 |
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Provider Enumeration Date | 09/07/2016 |
Last Update Date | 09/13/2016 |
Medicare PECOS PAC ID | 4789964412 |
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Medicare Enrollment ID | O20161214002279 |
Identifier | Type | State | Issuer |
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1477000511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G0026 (Texas) | Primary |
Provider Name | Warren Roquet |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275604878 PECOS PAC ID: 5092604710 Enrollment ID: I20080808000447 |
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