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Crystal Denise Roquemore
Military Health Care Provider in Houston, Texas
NPI 1588399299

Crystal Denise Roquemore is a Military Health Care Provider based in Houston, TX. Crystal Denise Roquemore practices in Houston, TX. The NPI Number for Crystal Denise Roquemore is 1588399299 and holds a License No. (Texas).

The current practice location address for Crystal Denise Roquemore is 4142 Phlox St, Houston, TX and can be reached out via phone at 832-816-7074. You can also correspond with Crystal Denise Roquemore through the mailing address at 4142 PHLOX ST, HOUSTON, TX - 77051 (mailing address contact number: 832-816-7074).

Location: 4142 Phlox St, Houston, TX, 77051
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Provider Profile Details
NPI Number
1588399299
Provider Name
Crystal Denise Roquemore
Credential
Provider Entity Type
Individual
Gender
Female
Address
4142 Phlox St, Houston, TX, 77051
Phone Number
832-816-7074
Fax Number
Provider Enumeration Date
07/18/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1920 01 TX VA
institution
Provider Business Practice Location Address Details
Address
4142 Phlox St
City
State
Zip
77051
Phone Number
832-816-7074
Fax Number
person
Provider Business Mailing Address Details
Address
4142 Phlox St
City
State
Zip
77051
Phone Number
832-816-7074
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
(Texas)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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