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Colton Michael Roath, MD

Student in an Organized Health Care Education/Training Program in Galveston, TX. Individual provider (NPI-1).

NPI number1053001073
StatusActive
Last updated in NPPESMay 12, 2023

Details

NPI
1053001073
Entity type
Individual (NPI-1)
Name
Colton Michael Roath
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
May 12, 2023
Certification date
May 12, 2023
Last updated
May 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

301 University Boulevard
5.504 Jennie Sealy Hospital
Galveston, TX 77555-0877

Phone 409-266-7856

Mailing address

Po Box 650859 Dept 710
Dallas, TX 75265-0859

Phone 409-772-2222

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