Dr. Charles Rider Roe
Medical Geneticist
3812 Elm St
Dallas
, Texas 75226-1216
Dr. Charles Rider Roe
Medical Geneticist
3812 Elm St
Dallas
, Texas 75226-1216
(214) 820-4853
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About
Features
Specialties
- Medical Geneticist
Languages spoken
- English
Location
First Address
- Dr. Charles Rider Roe
- 3812 Elm St
- Dallas, TX
- Zip : 75226-1216
- Fax : (214) 820-4853
- Phone : (214) 820-4533
Second Address
- Dr. Charles Rider Roe
- 3812 Elm St
- Dallas, TX
- Zip : 75226-1216
- Fax : (214) 820-4853
- Phone : (214) 820-4533
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 170100000X | Medical Geneticist | K1914 | TX |
National Provider Identifier
| NPI | 1386761674 |
|---|---|
| Provider Name | Dr. Charles Rider Roe |
| First Address | Dallas, TX 75226-1216 |
| Second Address | Dallas, TX 75226-1216 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2007 |
| Last Update Date | 08/07/2007 |
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.