Elizabeth Roeder
Pediatrician Clinical Genetics (M.D.)
333 N. Santa Rosa St.
San Antonio
, Texas 78207
Elizabeth Roeder
Pediatrician Clinical Genetics (M.D.)
333 N. Santa Rosa St.
San Antonio
, Texas 78207
(210) 704-4520
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Elizabeth Roeder
- 315 N San Saba Suite 1003
- San Antonio, TX
- Zip : 78207-3100
- Fax : (210) 704-4520
- Phone : (210) 704-3391
Second Address
- Elizabeth Roeder
- 333 N. Santa Rosa St.
- San Antonio, TX
- Zip : 78207
- Fax : (210) 704-4520
- Phone : (210) 704-3391
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | L9458 | TX |
| N | 208000000X | Pediatrician | L9458 | TX |
National Provider Identifier
| NPI | 1164432696 |
|---|---|
| Provider Name | Elizabeth Roeder |
| First Address | San Antonio, TX 78207-3100 |
| Second Address | San Antonio, TX 78207 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2006 |
| Last Update Date | 26/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 161251701 | (05) | TX |
| 161251702 | CIDC (01) | TX |
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.