Patrick Thomas Roughneen in Grapevine - Vascular Surgery
Patrick Thomas Roughneen - NPI 1205847936
Patrick Thomas Roughneen is a Vascular Surgery in Grapevine, Texas. Patrick Thomas Roughneen practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Patrick Thomas Roughneen is 1205847936. The last update date is 2008-03-18.
Patrick Thomas Roughneen's current location address is 1600 W College St, Grapevine, Texas. You can contact this provider via phone number 8175521900 and fax number 8175521902. The mailing address for Patrick Thomas Roughneen is 1600 W College St, Grapevine, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Patrick Thomas Roughneen |
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Address | 1600 W College St, Grapevine, Texas |
Phone Number | 8175521900 |
Fax Number | 8175521902 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1205847936 |
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Provider Enumeration Date | 2006-08-10 |
Last Updated Date | 2008-03-18 |
Provider Mailing Address Detail
Address | 1600 W College St |
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City | Grapevine |
State | Texas (TX) |
Post Code | 760513580 |
Phone Number | 8175521900 |
Fax Number | 8175521902 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
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Taxonomy | 2086S0129X |
Licence No | J1480 |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
0053MA | TX | BLUE CROSS/BLUE SHIELDS | |
171001401 | TX | -- | |
171001405 | TX | -- | |
171001404 | TX | -- | |
DE9002 | TX | RAILROAD MEDICARE PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Patrick Thomas Roughneen by the Centers for Medicare & Medicaid Services?
The Patrick Thomas Roughneen has been issued the NPI (National Provider Identifier) 1205847936, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Patrick Thomas Roughneen is physically located?
The Patrick Thomas Roughneen is physically situated at the following address: 1600 W College St, Grapevine, TX, 760513580.
What is Patrick Thomas Roughneen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Patrick Thomas Roughneen is Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.
On what date was the 1205847936 assigned to Patrick Thomas Roughneen?
The Patrick Thomas Roughneen was issued its 1205847936 on 2006-08-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Patrick Thomas Roughneen most recently updated or refreshed?
The details pertaining to the Patrick Thomas Roughneen, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-18.