Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 1731 | TX |
Y | 213ES0103X | Foot & Ankle Surgery | 1731 | TX |
NPI | 1215023403 |
---|---|
Provider Name | Roxanne P Toole |
First Address | Pearland, TX 77584-7298 |
Second Address | Houston, TX 77025-1669 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 22/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
172736403 | (05) | TX |
172736404 | (05) | TX |
172736405 | (05) | TX |