Healthcare Provider Details

I. General information

NPI: 1881089381
Provider Name (Legal Business Name): GABRIELLE ROLLAND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2015
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3551 ROGER BROOKE DR
FORT SAM HOUSTON TX
78234-4504
US

IV. Provider business mailing address

8901 ROCKVILLE PIKE DEPARTMENT OF GENERAL SURGERY BLDG 9 RM 1277
BETHESDA MD
20889-0001
US

V. Phone/Fax

Practice location:
  • Phone: 210-539-0000
  • Fax:
Mailing address:
  • Phone: 301-400-2185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberT8929
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: