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General NPI Number Information
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NPI Number | 1912191453
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Entity Type | Individual
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Provider Name | NATHALIE K. ROFF M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 04/28/2020
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Provider Practice Location Address
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Address Line | 6550 FANNIN ST STE 657
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City | HOUSTON
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State | TX
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Zip | 77030-2717
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Country | US
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Telephone | 713-441-2235
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Fax | 346-238-0122
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Provider Business Mailing Address
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Address Line | 25 1/2 COURTLANDT PL
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City | HOUSTON
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State | TX
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Zip | 77006-4013
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Country | US
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Telephone | 713-522-1240
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Fax | 832-218-9148
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | J9546
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | J9546
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | J9546
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License Number State | TX
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