Provider Demographics
NPI:1982602264
Name:ROKA, ALEXANDER SANDOR (MD, PA)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:SANDOR
Last Name:ROKA
Suffix:
Gender:M
Credentials:MD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20658 STONE OAK PKWY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7344
Mailing Address - Country:US
Mailing Address - Phone:210-403-3220
Mailing Address - Fax:210-403-3221
Practice Address - Street 1:20658 STONE OAK PKWY
Practice Address - Street 2:STE. 108
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7344
Practice Address - Country:US
Practice Address - Phone:210-403-3220
Practice Address - Fax:210-403-3221
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6272207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0009EJOtherBLUE CROSS BLUE SHIELD
TX0009EJOtherBLUE CROSS BLUE SHIELD
TX8F21703Medicare PIN