Gary D. Roark M.D.

NPI 1003896531 - Specialist - 174400000X

NPI Details
NPI 1003896531
Gender Male
Enumeration Date 01/19/2006
Last Updated 03/24/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1249 AMBLER AVE
SUITE 200
ABILENE TX, 79601-2351, US
Phone (325) 677-2626
Fax (325) 677-6835
Business Location
1249 AMBLER AVE
SUITE 200
ABILENE TX, 79601-2351, US
Phone (325) 677-2626
Fax (325) 677-6835
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number E4638
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According to our database, Dr. Gary D. Roark M.D. NPI is 1003896531, taxonomy code is 174400000X and license number is E4638, license state is located at Texas. Gary D. Roark M.D. physically located at 1249 Ambler Ave, Abilene TX, 79601-2351. NPI Number Gary D. Roark M.D. has the Individual type.

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1003896531 NPI number is provided on an as is basis without warranty of any kind. 1003896531 is maintained by the National Plan & Provider Enumeration System. The contents of Gary D. Roark M.D. are for informational purposes only.