Provider Demographics
NPI:1699045179
Name:ROE, WILLIAM G (ATP)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:G
Last Name:ROE
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 273028
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77277-3028
Mailing Address - Country:US
Mailing Address - Phone:713-669-0500
Mailing Address - Fax:713-666-3233
Practice Address - Street 1:6725 STELLA LINK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-4342
Practice Address - Country:US
Practice Address - Phone:713-669-0500
Practice Address - Fax:713-666-3233
Is Sole Proprietor?:No
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist