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NPI Code Detail

MEDICARE: ROY ROST

MEDICARE:   ROY  ROST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12472E0500XEEG Technician

General Provider Information

NPI Number : 1528829165
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROY ROST
Provider Business Mailing Address
First Line : 1110 NASA PKWY STE 545P
Second Line :
City : HOUSTON
State : TX
Zip : 77058-3358
Country : US
Telephone Number : 832-271-4664
Fax Number :
Provider Business Practice Location Address
First Line : 1110 NASA PKWY STE 545P
Second Line :
City : HOUSTON
State : TX
Zip : 77058-3358
Country : US
Telephone Number : 281-786-7914
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2024
Last Update Date : 01/22/2024

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Directions to “ ROY ROST ” Practice Location

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