MEDICARE: PATRICK T. ROUGHNEEN, M.D,, P.A.

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	174400000X	Specialist	J1480	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00323790	OTHER	TX	RAILROAD MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1285848804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATRICK T. ROUGHNEEN, M.D,, P.A.

Provider Business Mailing Address
First Line	:	1600 W COLLEGE ST
Second Line	:	SUITE 555
City	:	GRAPEVINE
State	:	TX
Zip	:	76051-3589
Country	:	US
Telephone Number	:	817-552-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 W COLLEGE ST
Second Line	:	SUITE 555
City	:	GRAPEVINE
State	:	TX
Zip	:	76051-3589
Country	:	US
Telephone Number	:	817-552-1900
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KIMCHI THI NGUYEN
Credential	:
Telephone Number	:	817-552-1900

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	10/20/2008

Similar Medicare Providers

1063355139 — DR. AMANDA SCHMIDT MS, PT, DPT
Practice Location Address:

1600 W COLLEGE ST STE 540
GRAPEVINE, TX
76051-3589

Practice Phone: 682-439-0091
Practice Fax:

1083610133 — DR. ADRIENNE L PRENTISS M.D.
Practice Location Address:

1600 W COLLEGE ST , STE 510
GRAPEVINE, TX
76051-3589

Practice Phone: 817-251-1225
Practice Fax: 817-251-1228

1205976008 — SPIROS MANOLIDIS M.D
Practice Location Address:

1600 W COLLEGE ST STE 555
GRAPEVINE, TX
76051-3589

Practice Phone: 817-329-6798
Practice Fax: 817-329-7801

1033353099 — MRS. SOFIA ANA LIESER M.D.
Practice Location Address:

1600 W COLLEGE ST STE 540
GRAPEVINE, TX
76051-3589

Practice Phone: 817-481-5863
Practice Fax: 817-329-8561

1033752431 — GEORGIA L BLAIR MD, PLLC
Practice Location Address:

1600 W COLLEGE ST STE 540
GRAPEVINE, TX
76051-3589

Practice Phone: 817-481-5863
Practice Fax:

1457202749 — SUSAN ELAINE MELTON LPC
Practice Location Address:

1452 HUGHES RD
GRAPEVINE, TX
76051-7366

Practice Phone: 682-503-1788
Practice Fax:

Directions to “PATRICK T. ROUGHNEEN, M.D,, P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.