Provider Demographics
NPI:1851327084
Name:MCLAUGHLIN, ROANE H (MD)
Entity Type:Individual
Prefix:DR
First Name:ROANE
Middle Name:H
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 HOSPITAL BLVD
Mailing Address - Street 2:P O BOX 1538
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-2008
Mailing Address - Country:US
Mailing Address - Phone:940-665-6679
Mailing Address - Fax:940-665-8958
Practice Address - Street 1:1902 HOSPITAL BLVD.
Practice Address - Street 2:STE. B
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240
Practice Address - Country:US
Practice Address - Phone:940-665-6679
Practice Address - Fax:940-665-8958
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0626207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX114179801Medicaid
TXOOB91MMedicare ID - Type Unspecified
TX114179801Medicaid