MEDICARE: DR. JOHN HUGH ROFF III M.D.

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
1	208200000X	Plastic Surgery Physician	G8383	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619947827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN HUGH ROFF III M.D.

Provider Business Mailing Address
First Line	:	21216 NORTHWEST FWY
Second Line	:	SUITE 530
City	:	CYPRESS
State	:	TX
Zip	:	77429-4695
Country	:	US
Telephone Number	:	281-807-6676
Fax Number	:	281-807-6677

Provider Business Practice Location Address
First Line	:	21216 NORTHWEST FWY
Second Line	:	SUITE 530
City	:	CYPRESS
State	:	TX
Zip	:	77429-4695
Country	:	US
Telephone Number	:	281-807-6676
Fax Number	:	281-807-6677

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	08/17/2007

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