Provider Demographics
NPI:1639215577
Name:ROOS, LINDA J (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:J
Last Name:ROOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9119 S GESSNER DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2874
Mailing Address - Country:US
Mailing Address - Phone:713-271-1522
Mailing Address - Fax:713-271-1526
Practice Address - Street 1:9119 S GESSNER DR
Practice Address - Street 2:SUITE 201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2874
Practice Address - Country:US
Practice Address - Phone:713-271-1522
Practice Address - Fax:713-271-1526
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
174400000X
TXH2003208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115274603Medicaid