Gary D. Roark is a Specialist in Abilene, Texas. Gary D. Roark practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gary D. Roark is 1003896531. The last update date is 2015-03-24.
Gary D. Roark's current location address is 1249 Ambler Ave, Abilene, Texas. You can contact this provider via phone number 3256772626 and fax number 3256776835. The mailing address for Gary D. Roark is 1249 Ambler Ave, Abilene, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary D. Roark |
|---|---|
| Address | 1249 Ambler Ave, Abilene, Texas |
| Phone Number | 3256772626 |
| Fax Number | 3256776835 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003896531 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2015-03-24 |
Provider Mailing Address Detail
| Address | 1249 Ambler Ave |
|---|---|
| City | Abilene |
| State | Texas (TX) |
| Post Code | 796012351 |
| Phone Number | 3256772626 |
| Fax Number | 3256776835 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | E4638 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110012672 | TX | RAILROAD MEDICARE | |
| 129978601 | TX | -- | |
| 122579100 | TX | FIRSTCARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gary D. Roark by the Centers for Medicare & Medicaid Services?
The Gary D. Roark has been assigned the NPI (National Provider Identifier) 1003896531 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Gary D. Roark's facilities are geographically located?
The facilities of Gary D. Roark are physically situated at the following location: 1249 Ambler Ave, Abilene, TX, 796012351.
What is the Gary D. Roark's specialty and taxonomy code?
The Gary D. Roark's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003896531 to Gary D. Roark?
The Gary D. Roark received its 1003896531 assignment from the Centers for Medicare & Medicaid Services on 2006-01-19.
As of what date was the information pertaining to Gary D. Roark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gary D. Roark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-03-24.
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