MEDICARE: LINDA ROOS 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	H2003	TX

General Provider Information

NPI Number	:	1679743868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDA ROOS M D P A

Provider Business Mailing Address
First Line	:	9119 S GESSNER DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2874
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9119 S GESSNER DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2874
Country	:	US
Telephone Number	:	713-271-1522
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. LINDA J ROOS
Credential	:	M D P A
Telephone Number	:	713-271-1522

Provider Enumeration Date	:	03/04/2008
Last Update Date	:	04/22/2008

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Directions to “LINDA ROOS M D P A ” Practice Location

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