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

NPI #1891908000 in Grapevine, Texas

Provider Information

NPI Number: 1891908000
Entity Type: Organization
Organization Name: Patrick T. Roughneen, M.d., P.a.
Primary Specialty: Specialist
Enumeration Date: May 7, 2007
Last Updated: Dec 11, 2007

Practice Location

Address: 1600 W COLLEGE ST
Address 2: SUITE 555
City: Grapevine
State: Texas
ZIP Code: 76051-3580
Phone: (817) 552-1900

Authorized Official

Name: KIMCHI T NGUYEN
Title: OFFICE MANAGE
Phone: (817) 552-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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