NPI 1841074408

Christopher Alan Roche, IDHS

Practitioner Independent Duty Corpsman South Padre Island, TX

Practice location

Address: 1 Wallace Reed Rd, South Padre Island, TX 78597-6401
Phone: (956) 364-7400

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1841074408
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2023
Record last updated: 23 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.