Provider Demographics
NPI:1598929788
Name:CARL B, ROUNTREE, M.D. & ASSOCIATES
Entity Type:Organization
Organization Name:CARL B, ROUNTREE, M.D. & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:BARTH
Authorized Official - Last Name:ROUNTREE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-868-5861
Mailing Address - Street 1:1740 W 27TH ST
Mailing Address - Street 2:SUITE 213
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1440
Mailing Address - Country:US
Mailing Address - Phone:713-868-5861
Mailing Address - Fax:713-868-6064
Practice Address - Street 1:1740 W 27TH ST
Practice Address - Street 2:SUITE 213
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1440
Practice Address - Country:US
Practice Address - Phone:713-868-5861
Practice Address - Fax:713-868-6064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathologyGroup - Single Specialty