Provider Demographics
NPI:1093005472
Name:ROASA, WILLIAM CHAD (PA-C)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CHAD
Last Name:ROASA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:598 N UNION AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-4196
Mailing Address - Country:US
Mailing Address - Phone:989-482-1487
Mailing Address - Fax:
Practice Address - Street 1:598 N UNION AVE STE 350
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4196
Practice Address - Country:US
Practice Address - Phone:830-730-5025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1097229363AM0700X
TXPA14186363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical