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Patrick T. Roughneen, M.d,, P.a.
Specialist in Grapevine, Texas
NPI 1285848804

Patrick T. Roughneen, M.d,, P.a. is a Specialist based in Grapevine, TX. Patrick T. Roughneen, M.d,, P.a. practices in Grapevine, TX. The NPI Number for Patrick T. Roughneen, M.d,, P.a. is 1285848804 and holds a License No. J1480 (Texas).

The current practice location address for Patrick T. Roughneen, M.d,, P.a. is 1600 W College St, Grapevine, TX and can be reached out via phone at 817-552-1900.

Location: 1600 W College St, Grapevine, TX, 76051-3589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285848804
Provider Name
Patrick T. Roughneen, M.d,, P.a.
Credential
Provider Entity Type
Organization
Address
1600 W College St, Grapevine, TX, 76051-3589
Phone Number
817-552-1900
Fax Number
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00323790 01 TX RAILROAD MEDICARE PTAN
171001401 05 TX
institution
Provider Business Practice Location Address Details
Address
1600 W College St
City
Grapevine
State
Texas
Zip
76051-3589
Phone Number
817-552-1900
Fax Number
person
Provider Business Mailing Address Details
Address
1600 W College St
City
Grapevine
State
Texas
Zip
76051-3589
Phone Number
817-552-1900
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
J1480 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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