Roeder, Elizabeth

Roeder, Elizabeth is an individual health care provider with primary practice located at 333 N. Santa Rosa St. , San Antonio TX 78207. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Roeder, Elizabeth can be contacted via phone (210) 704-3391.

Contact Information

Primary practice address
333 N. Santa Rosa St. San Antonio TX 78207
Phone: (210) 704-3391
Fax: (210) 704-4520
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L9458 Texas
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X L9458 Texas

Profile Details

NPI number 1164432696
LBN Legal business name Roeder, Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Oct 26th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164432696 NPPES
Texas Other 161251702 CIDC
Texas MEDICAID 161251701 CIDC

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