MEDICARE: DR CAMERON ROE P.L.L.C.

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	111N00000X	Chiropractor	10119	TX

General Provider Information

NPI Number	:	1023445863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR CAMERON ROE P.L.L.C.

Provider Business Mailing Address
First Line	:	2100 W WHITE ST STE 230
Second Line	:
City	:	ANNA
State	:	TX
Zip	:	75409-5516
Country	:	US
Telephone Number	:	972-924-2286
Fax Number	:	972-924-4688

Provider Business Practice Location Address
First Line	:	2100 W WHITE ST STE 230
Second Line	:
City	:	ANNA
State	:	TX
Zip	:	75409-5516
Country	:	US
Telephone Number	:	972-924-2286
Fax Number	:	972-924-4688

Authorized Official
Title or Position	:	OWNER/ CHIROPRACTOR
Name	:	DR. CAMERON WADE ROE
Credential	:	D.C.
Telephone Number	:	972-924-2286

Provider Enumeration Date	:	10/10/2013
Last Update Date	:	05/14/2026

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