Provider Demographics
NPI:1255348793
Name:ROLAND, JAMES KEITH (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:KEITH
Last Name:ROLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:950 HILLTOP DR STE 102
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-5488
Mailing Address - Country:US
Mailing Address - Phone:682-499-3800
Mailing Address - Fax:817-549-3037
Practice Address - Street 1:950 HILLTOP DR STE 102
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5488
Practice Address - Country:US
Practice Address - Phone:682-499-3800
Practice Address - Fax:817-549-3037
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2024-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF1947207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXKN32OtherMEDICARE
TXKN32Medicare ID - Type Unspecified
TXKN32OtherMEDICARE