Provider Demographics
NPI:1174965222
Name:ROPER, PATRICK W (MS)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:W
Last Name:ROPER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30106 LEGENDS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3036
Mailing Address - Country:US
Mailing Address - Phone:419-690-2435
Mailing Address - Fax:
Practice Address - Street 1:30106 LEGENDS RIDGE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-3036
Practice Address - Country:US
Practice Address - Phone:419-690-2435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst