Sean Kevin Roden, MD
Preventive Medicine, Public Health & General Preventive Medicine in Lakeway, TX. Individual provider (NPI-1).
NPI number1528046554
StatusActive
Last updated in NPPESJan 10, 2025
Details
- NPI
- 1528046554
- Entity type
- Individual (NPI-1)
- Name
- Sean Kevin Roden
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2006
- Certification date
- Jan 10, 2025
- Last updated
- Jan 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | J8743 | TX | Yes |
| 207P00000X | Emergency Medicine | MD153416 | OR | |
| 207P00000X | Emergency Medicine | J8743 | TX | |
| 207P00000X | Emergency Medicine | 12372 | HI | |
| 2083A0100X | Preventive Medicine, Aerospace Medicine | J8743 | TX | |
| 208D00000X | General Practice | MD153416 | OR |
Practice location
1411 Ranch Road 620 SLakeway, TX 78734-6317
Phone 512-668-9090
Mailing address
2951 Marina Bay Dr # 130470League City, TX 77573-2735
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Public Health & General Preventive Medicine Physician providers in Lakeway, TX
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.