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NPI Code Detail

MEDICARE: DR. REDENTOR ANTONIO ROY M.D.

MEDICARE: DR. REDENTOR ANTONIO ROY 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
1207RN0300XNephrology PhysicianL5116TX

Other Identifiers

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

General Provider Information

NPI Number : 1982674883
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REDENTOR ANTONIO ROY M.D.
Provider Business Mailing Address
First Line : 915 GESSNER RD STE 360
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2540
Country : US
Telephone Number : 713-468-5440
Fax Number : 713-973-0778
Provider Business Practice Location Address
First Line : 915 GESSNER RD STE 360
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2540
Country : US
Telephone Number : 713-468-5440
Fax Number : 713-973-0778
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 10/23/2025

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Directions to “ DR. REDENTOR ANTONIO ROY M.D.” Practice Location

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