MEDICARE: MARCI ANN ROY M.D.

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	2084N0400X	Neurology Physician	J5635	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2290111	OTHER	TX	AETNA
2	8R3771	OTHER	TX	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457356073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCI ANN ROY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 844658
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4658
Country	:	US
Telephone Number	:	800-994-0371
Fax Number	:	254-215-9722

Provider Business Practice Location Address
First Line	:	4036 CROMWELL DR
Second Line	:
City	:	KYLE
State	:	TX
Zip	:	78640-6645
Country	:	US
Telephone Number	:	512-654-4600
Fax Number	:	512-654-4601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	01/09/2026

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Directions to “ MARCI ANN ROY M.D.” Practice Location

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