Provider Demographics
NPI:1649834979
Name:ARMWOOD, RODDRICK KEITH
Entity type:Individual
Prefix:
First Name:RODDRICK
Middle Name:KEITH
Last Name:ARMWOOD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15416 PIONEER BLUFF TRL
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-1795
Mailing Address - Country:US
Mailing Address - Phone:281-782-1963
Mailing Address - Fax:
Practice Address - Street 1:15416 PIONEER BLUFF TRL
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:TX
Practice Address - Zip Code:76262-1795
Practice Address - Country:US
Practice Address - Phone:281-782-1963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)