Roy, Jacques A

Roy, Jacques A is an individual health care provider with primary practice located at 2617 Bolton Boone Dr Suite B, Desoto TX 75115-2074. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Roy, Jacques A can be contacted via phone (972) 709-1781.

Contact Information

Primary practice address
2617 Bolton Boone Dr Suite B Desoto TX 75115-2074
Phone: (972) 709-1781
Fax: (972) 709-1782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G6995 Texas
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X G6995 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X G6995 Texas

Profile Details

NPI number 1154434439
LBN Legal business name Roy, Jacques A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Feb 23rd, 2010 - about 14 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 1154434439 NPPES
Texas MEDICAID 140352946

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