Physician Compare National (NPI:1275604878)

HEALTHCARE PROVIDER: WARREN PAUL ROQUET MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1275604878
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092604710
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080808000447
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROQUET
	Individual professional last name
Provider First Name	WARREN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	EMERGENCY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	EMERGENCY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3201 UNIVERSITY DR E
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 345
	Group Practice or individual's line 2 address
City	BRYAN
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	778023484
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450834
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PHYSICIANS CENTRE,THE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450011
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CHI ST JOSEPH HEALTH
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450299
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	COLLEGE STATION MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y