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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.

Location: 4142 Phlox St, Houston, TX, 77051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
Houston
State
Texas
Zip
77051
Phone Number
832-816-7074
Fax Number
person
Provider Business Mailing Address Details
Address
4142 Phlox St
City
Houston
State
Texas
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
171000000X
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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