Provider Demographics
NPI:1346386349
Name:ROJAS, RAUL ANTONIO (MD)
Entity Type:Individual
Prefix:
First Name:RAUL
Middle Name:ANTONIO
Last Name:ROJAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:920 MEDICAL PLAZA DRIVE
Mailing Address - Street 2:#580
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380
Mailing Address - Country:US
Mailing Address - Phone:281-419-9968
Mailing Address - Fax:281-419-9806
Practice Address - Street 1:920 MEDICAL PLAZA DRIVE
Practice Address - Street 2:#580
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380
Practice Address - Country:US
Practice Address - Phone:281-419-9968
Practice Address - Fax:281-419-9806
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK2113207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10021921OtherAMERIGROUP
TX0041EAOtherBCBS
TX10021921OtherAMERIGROUP
TX0041EAOtherBCBS