Roach, Paul Jeffrey
Roach, Paul Jeffrey is an individual health care provider with primary practice located at 1301 W 38Th St Suite 400, Austin TX 78705-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Roach, Paul Jeffrey can be contacted via phone (512) 324-3440.Contact Information
Primary practice address
1301 W 38Th St Suite 400
Austin TX 78705-1000
Phone: (512) 324-3440
Fax: (512) 406-6513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | J1370 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | J1370 | Texas |
Profile Details
| NPI number | 1760467468 |
|---|---|
| LBN Legal business name | Roach, Paul Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Oct 28th, 2016 - about 9 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 | 1760467468 | NPPES |
| Texas | Other | 8ET553 | BCBS |
| Texas | MEDICAID | 137563614 | BCBS |
| Texas | MEDICAID | 137563617 | BCBS |
| Texas | MEDICAID | 137563615 | BCBS |
| Texas | MEDICAID | 137563616 | BCBS |
| Texas | Other | 8CN870 | BCBS |
| Texas | Other | P00837339 | BCBS |
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