MEDICARE: MR. JOHN E ROKER PA-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	363AM0700X	Medical Physician Assistant	PA04069	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8U3555	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8Y8318	OTHER	TX	BCBSTX
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528048071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN E ROKER PA-C

Provider Business Mailing Address
First Line	:	P O BOX 4439
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77210-4439
Country	:	US
Telephone Number	:	713-792-2991
Fax Number	:

Provider Business Practice Location Address
First Line	:	4805 HIGHWAY 6 N STE 12-A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-2716
Country	:	US
Telephone Number	:	346-205-8600
Fax Number	:

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

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	10/30/2024

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Directions to “ MR. JOHN E ROKER PA-C” Practice Location

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