Provider Demographics
NPI:1619947827
Name:ROFF, JOHN HUGH III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HUGH
Last Name:ROFF
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:21216 NORTHWEST FWY
Mailing Address - Street 2:SUITE 530
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4695
Mailing Address - Country:US
Mailing Address - Phone:281-807-6676
Mailing Address - Fax:281-807-6677
Practice Address - Street 1:21216 NORTHWEST FWY
Practice Address - Street 2:SUITE 530
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4695
Practice Address - Country:US
Practice Address - Phone:281-807-6676
Practice Address - Fax:281-807-6677
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2007-08-17
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Provider Licenses
StateLicense IDTaxonomies
TXG8383208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPOOOJ21G6Medicaid
TXJ21GMedicare ID - Type Unspecified
TXPOOOJ21G6Medicaid