Patrick T. Roughneen, M.d,, P.a.

NPI #1285848804 in Grapevine, Texas

Provider Information

NPI Number: 1285848804
Entity Type: Organization
Organization Name: Patrick T. Roughneen, M.d,, P.a.
Primary Specialty: Specialist
Enumeration Date: May 10, 2007
Last Updated: Oct 20, 2008

Practice Location

Address: 1600 W COLLEGE ST
Address 2: SUITE 555
City: Grapevine
State: Texas
ZIP Code: 76051-3589
Phone: (817) 552-1900

Authorized Official

Name: KIMCHI THI NGUYEN
Title: OFFICE MANAGER
Phone: (817) 552-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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