Dr. Angie Roach
Dental Public Health
27991 Buena Vista Blvd
Los Fresnos
, Texas 78566-4261
Dr. Angie Roach
Dental Public Health
27991 Buena Vista Blvd
Los Fresnos
, Texas 78566-4261
(956) 504-7275
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Angie Roach
- 27991 Buena Vista Blvd
- Los Fresnos, TX
- Zip : 78566-4261
- Phone : (956) 504-7275
Second Address
- Dr. Angie Roach
- 27991 Buena Vista Blvd
- Los Fresnos, TX
- Zip : 78566-4261
- Phone : (956) 504-7275
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 3260 | AR |
National Provider Identifier
| NPI | 1447452818 |
|---|---|
| Provider Name | Dr. Angie Roach |
| First Address | Los Fresnos, TX 78566-4261 |
| Second Address | Los Fresnos, TX 78566-4261 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2007 |
| Last Update Date | 24/06/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4303260 | (05) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.