Knapp, Roger S
Knapp, Roger S is an individual health care provider with primary practice located at 480 W Southlake Blvd Ste 133, Southlake TX 76092-6162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Knapp, Roger S can be contacted via phone (817) 329-9234.Contact Information
Primary practice address
480 W Southlake Blvd Ste 133
Southlake TX 76092-6162
Phone: (817) 329-9234
Fax: (817) 329-9239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E1001 | Texas |
Profile Details
| NPI number | 1457436602 |
|---|---|
| LBN Legal business name | Knapp, Roger S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Apr 18th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457436602 | NPPES |
| Texas | Other | 87350S | BCBSTX IND PIN |
| Texas | Other | KNARC17962 | BCBSTX IND PIN |
| Texas | Other | 152424 | BCBSTX IND PIN |
| Texas | Other | 4369262 | BCBSTX IND PIN |
| Texas | Other | 737821 | BCBSTX IND PIN |
| Texas | Other | 00U87Z | BCBSTX IND PIN |
| Texas | Other | 1750369203 | BCBSTX IND PIN |
| Texas | MEDICAID | 117218102 | BCBSTX IND PIN |
| Texas | MEDICAID | 140442831 | BCBSTX IND PIN |
| Texas | Other | 47652 | BCBSTX IND PIN |
| Texas | MEDICAID | 140442870 | BCBSTX IND PIN |
| Texas | Other | 2961700 | BCBSTX IND PIN |
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