Patrick T. Roughneen, M.D., P.A.

Specialist · Grapevine, TX

Organization Active NPI

NPI number 1891908000

Practice location

1600 W College St
Suite 555
Grapevine, TX 76051-3580
Phone
(817) 552-1900

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NPI record

NPI
1891908000
Entity type
Organization (Type 2)
Enumeration date
May 7, 2007
Last updated
December 11, 2007
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X J1480 TX

Authorized official

Name
Kimchi T Nguyen
Title
Office Manage
Phone
(817) 552-1900

About Patrick T. Roughneen, M.D., P.A.

Patrick T. Roughneen, M.D., P.A. is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1600 W College St, Suite 555, Grapevine, TX 76051-3580. The NPI number 1891908000 was assigned on May 7, 2007 and the record was last updated on December 11, 2007.

Patrick T. Roughneen, M.D., P.A. lists a license in the registry: #J1480 (TX) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Kimchi T Nguyen, Office Manage.

Frequently asked questions

What is the NPI number of Patrick T. Roughneen, M.D., P.A.?

The NPI number is 1891908000.

What is the phone number of Patrick T. Roughneen, M.D., P.A.?

The phone number listed for the practice location is (817) 552-1900.

Where is Patrick T. Roughneen, M.D., P.A. located?

1600 W College St, Suite 555, Grapevine, TX 76051-3580.

What is the taxonomy code for Patrick T. Roughneen, M.D., P.A.?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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